Individual provider Active NPI

Nancy Hill Wildrick, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1760712640
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05644500 Issued in NJ
Practice address
320 W 37TH St FL 5
New York, NY 10018-4252
Phone
(908) 681-4270
NPI assigned
Dec 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5475 FL
Specialist 174400000X MA 52361 FL
Massage Therapist 225700000X 18KT00779400 NJ
Clinical Social Worker 1041C0700X 44SC05644500 NJ Primary

Addresses

Primary practice location

320 W 37TH St FL 5
New York, NY 10018-4252

Mailing address

320 W 37TH St FL 5
New York, NY 10018-4252
Phone (908) 681-4270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ, PA, AZ, NY5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20250930000509 FL Practitioner - Clinical Social Worker 6901302900 Reassigns benefits to 1 organization
I20251006003727 NJ Practitioner - Clinical Social Worker 6901302900 Reassigns benefits to 1 organization
I20251006003810 PA Practitioner - Clinical Social Worker 6901302900 Reassigns benefits to 2 organizations
I20251007001508 AZ Practitioner - Clinical Social Worker 6901302900 Reassigns benefits to 1 organization
I20260416001572 NY Practitioner - Clinical Social Worker 6901302900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5475FLMDClinical Social Worker
44SC05644500NJMDClinical Social Worker
MA 52361FLMDSpecialist
18KT00779400NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 26, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Sep 2, 2025 Accepting new patients
Central Florida Injury Southwest, Inc Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1760712640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W 37TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184252",
            "telephone_number": "908-681-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 37TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184252",
            "telephone_number": "908-681-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDRICK",
        "first_name": "NANCY",
        "middle_name": "HILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5475",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA 52361",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00779400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05644500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.