WENDELL WILD (NPI# 1053683011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053683011 |
| Entity Type | Individual |
| Full Name | WENDELL WILD |
| Credential | LCSW |
| Practice Address |
2885 Main St Buffalo NY 14214-1736 |
| Practice Telephone | 7168844478 |
| Mailing Telephone | 7168164259 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
R033870-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 166001554 | 05 |
| Street Address |
2885 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14214-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619533601 | Catherine Wells | Social Worker | 2885 Main St, Buffalo, NY 14214-1736 | 2019-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1962031542 | Sana Annan | Anesthesiology | 195 Holden St, Buffalo, NY 14214 | 2020-04-06 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1316590086 | Megan Elizabeth Quinn | Social Worker | 34 Benwood Ave., Buffalo, NY 14214 | 2019-07-22 |
| 1235690553 | Iqra Qamar | Student in an Organized Health Care Education/Training Program | 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 | 2019-03-28 |
| 1477034676 | April Forsaith Villacrusis | Specialist/Technologist | 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 | 2018-08-24 |
| 1437656675 | Anum Nida | Student in an Organized Health Care Education/Training Program | Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 | 2018-04-12 |
| 1710480173 | Wny Podiatric Associates Pllc | Podiatrist | 2121 Main St Ste 214, Buffalo, NY 14214 | 2018-03-13 |
| 1043738446 | Alexander Paul Peters | Physical Therapist | 53 Robie St, Apt 3, Buffalo, NY 14214 | 2017-09-06 |
| Find all providers in zip 14214 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834045 | Luis Steven Maisonet | Social Worker | 255 Porter Ave, Buffalo, NY 14201-1051 | 2020-09-08 |
| 1477011492 | Alison Castanza | Social Worker | 211 Woodcrest Dr, Buffalo, NY 14220-2863 | 2019-03-08 |
| 1831722701 | Sara Marranca | Social Worker | 50 E North St, Buffalo, NY 14203-1002 | 2020-02-19 |
| 1275015216 | Pamela Kaminska | Social Worker | 50 E North St, Buffalo, NY 14203-1002 | 2018-09-06 |
| 1770086837 | Casey Young | Social Worker | 10 Symphony Cir, Buffalo, NY 14201-1363 | 2018-03-15 |
| 1588171110 | Julie Anne Maxwell | Social Worker | 120 Alexander Ave, Buffalo, NY 14211-2718 | 2018-01-04 |
| 1659880284 | Kerry Lynn Conway | Social Worker | 51 Saint Johns Parkside St, Buffalo, NY 14210-2515 | 2017-09-27 |
| 1275839052 | Pamela Opal Rouse | Social Worker | 605 Niagara St, Buffalo, NY 14201-1044 | 2011-01-27 |
| 1376709576 | Jessica Nicole Filjones | Social Worker | 51 Saint Johns Parkside St, Buffalo, NY 14210-2515 | 2008-08-06 |
| 1154589349 | Victoria Regina Gillison | Social Worker | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2008-05-25 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.