The Wildling Circle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE WILDLING CIRCLE

Practice address

47 Pleasant St
Oxford, ME 04270-4273

Phone

(973) 229-8224

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Laura Palermo, LCSWNPI 1265765028

Title

Owner/ LCSW

Phone

(973) 229-8224

Specialties & licenses 1

Addresses

Other names 1

• Laura Palermo Other name

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

• Laura Palermo, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1265765028

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1407693252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SKYLINE DR UNIT 12",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PLEASANT ST",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042704273",
            "telephone_number": "973-229-8224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Skyline Dr Unit 12",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125243645",
            "country_code": "US",
            "telephone_number": "973-229-8224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WILDLING CIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/ LCSW",
        "authorized_official_telephone_number": "973-229-8224",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Palermo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wayne Robichaud
• Gemma Rogers
• Kirsten Rose
• Patricia Sue Salvatore, CADC
• Jeanne Sylvester
• Town of Oxford
• Christine Trefethen, OTR/L
• Courtney Lynn Turgeon
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• All providers in Oxford, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.