Individual provider Active NPI

Danielle Waild, MSW, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1881553543
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001293 Issued in KY
Practice address
351 Pascoe Blvd Ste 102
Bowling Green, KY 42104-6302
Phone
(270) 904-4945
Fax
(270) 721-0988
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW00001293 KY Primary

Addresses

Primary practice location

351 Pascoe Blvd Ste 102
Bowling Green, KY 42104-6302

Mailing address

351 Pascoe Blvd Ste 102
Bowling Green, KY 42104-6302
Phone (270) 904-4945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260427001035 KY Practitioner - Clinical Social Worker 7214404318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 Franklin Rd
Suite 430
Brentwood, TN 37027-1602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW00001293KYMDClinical Social Worker

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1881553543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 PASCOE BLVD STE 102",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046302",
            "telephone_number": "270-904-4945",
            "fax_number": "270-721-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PASCOE BLVD STE 102",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046302",
            "telephone_number": "270-904-4945",
            "fax_number": "270-721-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAILD",
        "first_name": "DANIELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.