Wildwood

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILDWOOD

Doing business as

Wildwood Perinatal Collective

Practice address

6 Governors LN Ste a
Chico, CA 95926-5590

Phone

(530) 366-0755

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 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

Mrs. Emma Kennedy Todd, LCSWNPI 1467800359

Title

Owner

Phone

(530) 366-0755

Specialties & licenses 1

Addresses

Other names 1

• Wildwood Perinatal Collective Doing business as

Locations

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.

• Emma Kennedy Todd, LCSW

  • Clinical Social Worker
  • Chico, CA
  • NPI 1467800359
  NPD Authorized official

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1356001317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GOVERNORS LN STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265590",
            "telephone_number": "530-366-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GOVERNORS LN STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265590",
            "telephone_number": "530-366-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-366-0755",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildwood Perinatal Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Wilbur, MSPT
• Wild Goose Marriage and Family Therapy, a Professional Corporation
• Barbara J Wilde, RN, FNP
• Elizabeth Margaret Wildenhaus, MHC
• Wildflower Pediatrics Inc
• Allyson Elizabeth Wilhite, RN
• Charles E Wilhite, MD
• Charles E. Wilhite II
• Sarah Wilhite, OTD, OTR/L
• James Wilkerson

• Clinical Social Worker in Chico, CA
• Providers in Chico, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.