Wild Core Coaching LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WILD CORE COACHING LLC

Practice address

17 Pierce Ave Ste B24
Fitchburg, MA 01420-7111

Phone

(978) 400-2040

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Kathryn BurnsNPI 1851805030

Title

Licsw

Phone

(978) 400-2040

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kathryn Burns

  • Clinical Social Worker
  • Cambridge, MA
  • NPI 1851805030
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1861129454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PIERCE AVE STE B24",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PIERCE AVE STE B24",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207111",
            "telephone_number": "978-400-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD CORE COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "978-400-2040"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise T White
• Prescott James White, DC
• Pamela Whiting, MSW
• Thomas Robert Wickham, DO, MPH
• Stephanie Wilbur
• Olivia Wilkins
• Edna William
• Anika Williams
• Jasmine Williams, LAT, ATC
• Johanna Williams, PHARMD

• Case Management Agency in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Case Management Agency in Massachusetts

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