Organization · Type 2 NPI

Wild Empowerment LLC

Clinical Social Worker · Wallingford, CT

NPI number 1831885359 Active

Practice location

45 Fair St
Wallingford, CT 06492-4208

Call (203) 951-1393 Map

Mailing address

45 Fair St Fl 1
Wallingford, CT 06492-4208

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1831885359

Wild Empowerment LLC's National Provider Identifier is 1831885359, issued on Apr 17, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wallingford, CT. The record was last updated on Oct 20, 2026.