National Provider Identifier
Wendell Wild, LCSW-R
Wendell Wild, LCSW-R is listed in the NPPES registry with a primary specialty of School Social Worker in Orchard Park, NY and a listed phone number of (716) 675-9232.
Profile Overview
- NPI
- 1053683011
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- February 06, 2012
- Last Updated
- May 06, 2024
Practice Location
- 70 Linwood Ave
- Orchard Park, NY 14127-2308
Phone: (716) 675-9232
Specialties
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1053683011
- Entity Type
- Individual
- Last Name
- Wild
- First Name
- Wendell
- Credential
- LCSW-R
- Mailing Street Address
- 70 Linwood Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2308
- Mailing Country
- US
- Mailing Phone
- (716) 675-9232
- Mailing Fax
- (716) 675-9217
- Practice Street Address
- 70 Linwood Ave
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2308
- Practice Country
- US
- Practice Phone
- (716) 675-9232
- Enumeration Date
- February 06, 2012
- Last Updated
- May 06, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X)
- Other Identifiers
- 166001554 (NY)