Active NPIIndividual providerSole proprietor

Eric C Wilde, LCSW

Social Worker, Clinical in Pelham, New York

NPI Number1336438795
Practice location
4784 Boston Post RD Apt B61, Pelham, NY 10803-3022
Fax
—
Last updated
November 23, 2024

Eric C. Wilde is a Social Worker, Clinical based in Pelham, NY. Eric C. Wilde practices in Pelham, NY and has the professional credentials of LCSW. The NPI Number for Eric C. Wilde is 1336438795 and holds a License No. 075102-01 (NY). The current practice location address for Eric C. Wilde is 4784 Boston Post RD Apt B61, Pelham, NY 10803-3022 and can be reached out via phone at 914-336-2274.

Provider Profile Details

NPI Number
1336438795
Provider Name
Eric C. Wilde
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
4784 Boston Post RD Apt B61, Pelham, NY 10803-3022
Phone Number
914-336-2274
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 6, 2011
Last Update Date
November 23, 2024
Certification Date
November 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4784 Boston Post RD Apt B61
Pelham, NY 10803-3022
City
Pelham
Zip
10803-3022
Phone Number
914-336-2274
Pelham, NY 10803Get directions →

Provider Business Mailing Address Details

Address
4784 Boston Post RD Apt B61
Pelham, NY 10803-3022
City
Pelham
State
NY
Zip
10803-3022
Phone Number
914-336-2274

License Information

License Number
075102-01
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Pelham, NY

View all Social Worker, Clinical providers in Pelham →

Frequently Asked Questions

What is the NPI number of Eric C Wilde, LCSW?

The NPI number of Eric C Wilde, LCSW is 1336438795. It was assigned on April 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Eric C Wilde, LCSW?

Eric C Wilde, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 075102-01.

Where does Eric C Wilde, LCSW practice?

The practice location is 4784 Boston Post RD Apt B61, Pelham, NY 10803-3022. The office can be reached at 914-336-2274 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336438795 directly on the NPPES registry website.

Browse related providers