Brianna Wilde, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00945261 Issued in WV

Practice address

406 Summers St
Hinton, WV 25951-2221

Phone

(304) 712-2588

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Free to Be You Counseling, LLC Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Free to Be You Counseling, LLC

  • Clinical Social Worker
  • Hinton, WV
  • NPI 1326888660
  NPD Authorized official

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1609425073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 E WOODRUMTOWN RD",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259514627",
            "telephone_number": "304-660-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SUMMERS ST",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512221",
            "telephone_number": "304-712-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "BRIANNA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREE TO BE YOU",
            "last_name": "COUNSELING, LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David D Weikle Jr.
• Tonia Marie Wesson
• Mary Helen Wheeler
• Meghan Wheeler
• Susan Lynn Wheeler
• Zechariah Willey
• Amanda Dawn Williams
• Sarah Pansy Williams
• Alexander Frederick Willis
• Amanda Renee Withrow

• Clinical Social Worker in Hinton, WV
• Providers in Hinton, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.