NPIMap

Organization Active NPI

Lorien Wilder LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesterfield, VA
National Provider Identifier
1467934828
Registry record updated Sep 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LORIEN WILDER LCSW LLC
Practice address
9844 Lori Road Suite 102
Chesterfield, VA 23832
Phone
(804) 426-3728
NPI assigned
Sep 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2018

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

Authorized official

Name
Melissa Lorien Wilder, LCSWNPI 1417295056
Title
Owner
Phone
(804) 426-3728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9844 Lori Road Suite 102
Chesterfield, VA 23832

Mailing address

PO Box 13013
Richmond, VA 23225

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535932800000",
    "number": "1467934828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13013",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 LORI ROAD SUITE 102",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "23832",
            "telephone_number": "804-426-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIEN WILDER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LORIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-426-3728",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.