Wild Ohio Therapy Farm

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILD OHIO THERAPY FARM

Practice address

415 Lake Vista Dr
Zanesville, OH 43701-7552

Phone

(740) 319-1666

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Stephen Kelty

Title

Office Manager

Phone

(614) 370-1033

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Kelty, LSW

  • Clinical Social Worker
  • Zanesville, OH
  • NPI 1841693777
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1104404920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LAKE VISTA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017552",
            "telephone_number": "740-319-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LAKE VISTA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017552",
            "telephone_number": "740-319-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD OHIO THERAPY FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "KELTY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-370-1033"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raya White, DNP, APRN, PMHNP BC
• Junior Eli Whitlatch, BA, QMHS
• Whitney McLain
• Christi L Wicker, LPN
• Walter Wielkiewicz, M.D.
• Michael Allen Wildroudt II
• Robin Nicole Wiley, LPN
• Alexis Jordan Wilkins, PHARMD
• Carl Clayton Wilkins, ATC
• Rylee Jade Willett, BSW,QMHS

• Clinical Social Worker in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.