WENDELL WILD LCSW-R NPI 1053683011

NPI Information

NPI: 1053683011
Provider Name: WENDELL WILD, LCSW-R
Classification: Social Worker - 1041S0200X
Specialization: School
Entity Type: Individual
PECOS Registration: Yes
Address: 70 LINWOOD AVE
ORCHARD PARK, NY
ZIP 14127
Phone: (716) 675-9232

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NPI Details

Wendell Wild, LCSW-R is a school social worker in Orchard Park, NY with 41 years of experience. Wendell Wild, LCSW-R NPI is 1053683011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

70 LINWOOD AVE
ORCHARD PARK, NY
ZIP 14127-308
Phone: (716) 675-9232

The NPI 1053683011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 5/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041S0200X	Social Worker	School	R033870-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	166001554	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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