Wild Hope Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILD HOPE THERAPY, LLC

Practice address

3040 Riverside Dr Ste 117
Upper Arlngtn, OH 43221-2550

Phone

(614) 328-9714

NPI assigned

Jul 28, 2020

Last updated

May 24, 2023By 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

Stephanie Purdom, LISWNPI 1639626914

Title

Owner

Phone

(630) 404-7833

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Stephanie Purdom, LCSW

  • Clinical Social Worker
  • Gahanna, OH
  • NPI 1639626914
  NPD Authorized official
• Madison Eagle, LSW

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1326718479
  NPD

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1386253003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 KENMORE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223456",
            "telephone_number": "630-404-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR STE 117",
            "city": "UPPER ARLNGTN",
            "state": "OH",
            "postal_code": "432212550",
            "telephone_number": "614-328-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD HOPE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "PURDOM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-404-7833",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvaro E Molina

• Clinical Social Worker in Upper Arlngtn, OH
• Providers in Upper Arlngtn, 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 May 24, 2023; 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.