Amy J. Wilder, LCSW, Inc.
Organization Active NPI Clinical Social Worker · Arlington Heights, IL
NPI 1013101955 · NPPES record last updated Sep 4, 2007
Key facts
- NPI
- 1013101955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy Wilder, LCSW
- Title
- Owner
- Phone
- (847) 545-0400
Practitioners 3
-
Amy J Wilder, LCSW
-
Caroline A. Reitenbach, M.S.W.
-
Stacey Cohn Siver, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050901000076 | IL | Part B Supplier - Clinic/Group Practice | 1951333764 |
Receives reassigned benefits from 1 practitioner Practice locations: Arlington Heights, IL |
National Provider Directory
Locations
415 W Golf Rd
Ste 51
Arlington Heights, IL 60005
Phone (847) 545-0400
2025 S Arlington Heights Rd
Ste 112
Arlington Heights, IL 60005
Phone (847) 545-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
2025 S Arlington Heights Rd
Arlington Heights, IL 60005-4152
Mailing address
2025 S Arlington Heights Rd
Arlington Heights, IL 60005-4152
Phone (847) 545-0400
Other providers in Arlington Heights, IL
- American Drug Stores LLC
- American Health Center, LTD.
- Amicus Home Health, LLC
- Hafsa Amin
- Amphora Counseling, PLLC
- Mohammad Anadani
- Lampis D Anagnostopoulos
- Anchorpoint Adolescent Consultant Group Inc.
- Ashley Andersen
- Jennifer Andersen
All providers in Arlington Heights, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.