Carol A Wildman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1693 Issued in NH

Practice address

52 W Pleasant St
Claremont, NH 03743-3055

Phone

(603) 542-2578

Fax

(603) 342-5436

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Central Services, Inc

  • Case Manager/Care Coordinator
  • Claremont, NH
  • NPI 1013377571
  NPD (past)
• West Central Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, NH
  • NPI 1174635684
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1124193545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HANOVER ST",
            "address_2": "SUITE 2",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661312",
            "telephone_number": "603-448-0126",
            "fax_number": "603-448-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W PLEASANT ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037433055",
            "telephone_number": "603-542-2578",
            "fax_number": "603-342-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDMAN",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire J Wellington, MA, LCMHC
• Milton E Were
• West Central Services, Inc
• Saundra White, PTA
• Heather L. Wilcoxon, LCMHC
• Melony Williams, LCMHC
• Thomas Wilson
• James P Wilton, DPM
• Kelly Winterbottom
• Bonnie Rae Wrisley, MSW

• Clinical Social Worker in Claremont, NH
• Providers in Claremont, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.