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KATHLEEN WILD LCSW
NPI 1023061801
Social Worker - Clinical in Las Vegas, NV

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
6375 W CHARLESTON BLVD, STE A100, LAS VEGAS, NV 89146(702) 253-0818(702) 253-9625 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Wild Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN WILD LCSW (NPI 1023061801) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (5457 C) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1023061801
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN WILDCredential: LCSW
Location Address6375 W CHARLESTON BLVD, STE A100Las Vegas, NV 89146-1139
Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (206) 734-5445 · Fax (702) 895-4014
Phone(702) 253-0818
Fax(702) 253-9625
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 19, 2006
Last NPPES UpdateMay 14, 2021
NPPES CertifiedMay 14, 2021
✔ NPI 1023061801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NV · 5457 C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6375 W CHARLESTON BLVD, Las Vegas, NV 89146
Open in Google Maps ↗

Other Identifiers 1

Medicaid100507624NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Wild Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719043389
PECOS Enrollment IDI20090305000538
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN PENELOPE MONTES-DE OCA OTR/L
Occupational Therapist
6375 W CHARLESTON BLVD
LAS VEGAS, NV 89146
Clark County (702) 259-1903
SUSAN CROWDER RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
6375 W CHARLESTON BLVD, STE A100
LAS VEGAS, NV 89146
Clark County (702) 253-0818
BARBRIEL LORRAINE CRUDUP COTA/L
Occupational Therapy Assistant
6375 W CHARLESTON BLVD
LAS VEGAS, NV 89146
Clark County (702) 259-1903
MRS. JOSEFINA NATERA BS CADC INTERN LBSW
Counselor (Addiction (Substance Use Disorder))
6375 W CHARLESTON BLVD, A-172
LAS VEGAS, NV 89146
Clark County (702) 877-0684
MRS. GARNETTE DAWN MCCRACKEN L.C.S.W.
Social Worker (Clinical)
6375 W CHARLESTON BLVD, A-100
LAS VEGAS, NV 89146
Clark County (702) 253-0818
VICTORIA KATE HAMMOND PT, DPT
Physical Therapist
6375 W CHARLESTON BLVD
LAS VEGAS, NV 89146
Clark County (702) 259-1903
DR. FOENG T. THAM
Dentist (General Practice)
6375 W CHARLESTON BLVD, A500
LAS VEGAS, NV 89146
Clark County (702) 651-5510
KATHRYN MARIE OLSON L.P.N.
Licensed Practical Nurse
6375 W CHARLESTON BLVD, A 100
LAS VEGAS, NV 89146
Clark County (702) 253-0818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Wild's NPI number?

The NPI number for Kathleen Wild is 1023061801. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kathleen Wild located?

Kathleen Wild practices at 6375 W Charleston Blvd Ste A100, Las Vegas, NV 89146. The listed phone number is (702) 253-0818.

What is Kathleen Wild's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen Wild enrolled in Medicare?

Yes. Kathleen Wild is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Wild was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.