Wild World Counseling and Coaching,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILD WORLD COUNSELING AND COACHING,LLC

Practice address

2725 S Nakoma CT
Beloit, WI 53511-2126

Phone

(414) 550-3920

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Christine M. Pedretti, LCSW

Title

Owner

Phone

(414) 550-3920

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1417670886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S NAKOMA CT",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112126",
            "telephone_number": "414-550-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S NAKOMA CT",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112126",
            "telephone_number": "414-550-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD WORLD COUNSELING AND COACHING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "PEDRETTI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-550-3920",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699885103",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee White, RN
• Mary Whitney-Hartje
• Anny Wicyk, APNP
• Andrew Michael Wiegel, PHARMD
• Malissa R Wightman, RN, APNP
• Cynthia J Williams
• Kassandra Elizabeth Wilson
• Nancy J. Wilson, M.D.
• Shawn P Wilson, MD
• Wisconsin CVS Pharmacy LLC

• Clinical Social Worker in Beloit, WI
• Providers in Beloit, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.