Individual provider · Type 1 NPI
Tobias Allen Wilde Sr., MSW, LICSW
Clinical Social Worker · Fargo, ND
Practice location
4422 30th Ave S Apt 309
Fargo, ND 58104-8441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 5797 (ND) |
| Clinical Social Worker Primary | 1041C0700X | 24970 (MN) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1770866485
Tobias Allen Wilde Sr., MSW, LICSW's National Provider Identifier is 1770866485, issued on Sep 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fargo, ND. The record was last updated on Feb 19, 2024.