Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEANNA WILDE MSW, LICSW
NPI 1053188425
Social Worker in Willmar, MN

Q: What is Deanna Wilde's NPI number?

The NPI number for Deanna Wilde is 1053188425. It was assigned to this individual provider in the NPPES registry on December 6, 2023.

Q: What is Deanna Wilde's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Deanna Wilde was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.

Active since December 06, 2023PECOS Enrolled

1708 1ST ST S, WILLMAR, MN 56201(218) 999-7750 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 14, 2026, Dec 6, 2023 (2 updates tracked since 2023).

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About Deanna Wilde Msw, Licsw NPPES

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

DEANNA WILDE MSW, LICSW (NPI 1053188425) is an individual social worker in Willmar, Minnesota, licensed in Minnesota (31957) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053188425

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameDEANNA WILDECredential: MSW, LICSW

Location Address1708 1ST ST SWillmar, MN 56201-4228

Mailing Address1708 1st St SWillmar, MN 56201-4228 · (218) 999-7750

Phone(218) 999-7750

Sole ProprietorYes

Enumeration DateDecember 6, 2023

Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1053188425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MN · 31957

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1708 1ST ST S, Willmar, MN 56201

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Other Identifiers 1

Medicaid1003042656MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deanna Wilde Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

STEFFANIE SUE SMITH PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1708 1ST ST S
WILLMAR, MN 56201

Kandiyohi County (218) 999-7750

LISA RENEE THIELKE APRN, CNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1708 1ST ST S
WILLMAR, MN 56201

Kandiyohi County (218) 999-7750

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 Deanna Wilde's NPI number?

The NPI number for Deanna Wilde is 1053188425. It was assigned to this individual provider in the NPPES registry on December 6, 2023.

Where is Deanna Wilde located?

Deanna Wilde practices at 1708 1st St S, Willmar, MN 56201. The listed phone number is (218) 999-7750.

What is Deanna Wilde's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Deanna Wilde enrolled in Medicare?

Yes. Deanna Wilde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deanna Wilde was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.