Organization Active NPI

Wild Empowerment LLC

  • Clinical Social Worker
  • Wallingford, CT
National Provider Identifier
1831885359
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILD EMPOWERMENT LLC
Practice address
45 Fair St
Wallingford, CT 06492-4208
Phone
(203) 951-1393
NPI assigned
Apr 17, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gina Amante, LCSWNPI 1487323747
Title
Owner / Clinician
Phone
(203) 951-1393

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

45 Fair St
#1
Wallingford, CT 06492
Phone (203) 293-3457

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

45 Fair St
Wallingford, CT 06492-4208

Mailing address

45 Fair St FL 1
Wallingford, CT 06492-4208

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2026.

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1831885359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FAIR ST FL 1",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FAIR ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924208",
            "telephone_number": "203-951-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD EMPOWERMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "AMANTE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER / CLINICIAN",
        "authorized_official_telephone_number": "203-951-1393",
        "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": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.