Amy J. Wilder, LCSW, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMY J. WILDER, LCSW, INC.

Practice address

2025 S Arlington Heights Rd
Arlington Heights, IL 60005-4152

Phone

(847) 545-0400

Fax

(847) 545-0405

NPI assigned

Sep 4, 2007

Last updated

Sep 4, 2007By 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

Mrs. Amy Wilder, LCSWNPI 1225081557

Title

Owner

Phone

(847) 545-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Amy J Wilder, LCSW

  • Clinical Social Worker
  • Arlington Heights, IL
  • NPI 1225081557
  Medicare reassignment NPD Authorized official
• Caroline A. Reitenbach, M.S.W.

  • Clinical Social Worker
  • Arlington Heights, IL
  • NPI 1497735922
  NPD (past)
• Stacey Cohn Siver, PH.D.

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1013245232
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1013101955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054152",
            "telephone_number": "847-545-0400",
            "fax_number": "847-545-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054152",
            "telephone_number": "847-545-0400",
            "fax_number": "847-545-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY J. WILDER, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-545-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Andersen, LPC
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• Clinical Social Worker in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.