WILD REMEMBRANCE LLC
NPI 1023690765
Social Worker - Clinical in White Salmon, WA

Active since April 22, 2021
23 WNUK RD, WHITE SALMON, WA 98672(503) 705-5241 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wild Remembrance Llc NPPES

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

WILD REMEMBRANCE LLC (NPI 1023690765), doing business as Wild Awaken Therapy, is a healthcare organization registered as a clinical in White Salmon, Washington and active in the NPI registry since April 2021. The organization lists Elizabeth L Hummer, Owner, as its authorized official.

NPPES Registry Identity

NPI1023690765
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILD REMEMBRANCE LLC
Location Address23 WNUK RDWhite Salmon, WA 98672-8428
Mailing Address23 Wnuk RdWhite Salmon, WA 98672-8428 · (503) 705-5241
Organization SubpartNo
Authorized OfficialElizabeth L HummerOwner · (503) 705-5241
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
NPI 1023690765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

23 WNUK RD, White Salmon, WA 98672

Other Names 1

Doing Business AsWild Awaken Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Wild Remembrance LLC's NPI number?

The NPI number for Wild Remembrance LLC is 1023690765. It was assigned to this organization in the NPPES registry on April 22, 2021. The provider is doing business as Wild Awaken Therapy.

Where is Wild Remembrance LLC located?

Wild Remembrance LLC is located at 23 Wnuk Rd, White Salmon, WA 98672. The listed phone number is (503) 705-5241.

What is Wild Remembrance LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wild Remembrance LLC was last updated on April 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.