Wildwood Health and Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILDWOOD HEALTH AND WELLNESS

Practice address

45 Winnebago Circle
Saint Clair, MN 56080

Phone

(507) 995-0560

NPI assigned

Sep 22, 2021

Last updated

Nov 16, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Caylin Cedergren, LICSWNPI 1033684451

Title

Owner/Therapist

Phone

(507) 205-2720

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caylin Colleen Cedergren, MSW, LICSW

  • Clinical Social Worker
  • Saint Clair, MN
  • NPI 1033684451
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1003587916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "SAINT CLAIR",
            "state": "MN",
            "postal_code": "560800459",
            "telephone_number": "507-205-2720",
            "fax_number": "507-205-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WINNEBAGO CIRCLE",
            "city": "SAINT CLAIR",
            "state": "MN",
            "postal_code": "56080",
            "telephone_number": "507-995-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "CEDERGREN",
        "authorized_official_first_name": "CAYLIN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "507-205-2720",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caylin@wildwoodhealthwellness.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "address_1": "45 Winnebago Circle",
            "city": "Saint Clair",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caylin Colleen Cedergren, MSW, LICSW
• Brandi Roeker, M.S., CCC-SLP
• St. Clair Isd #75

• Community/Behavioral Health Agency in Saint Clair, MN
• Providers in Saint Clair, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.