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KELLY WILDES LCSW
NPI 1083340012
Social Worker - Clinical in Lowell, MA

Active since August 01, 2022
166 CENTRAL ST, LOWELL, MA 01852(978) 513-7300 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Aug 1, 2022 (2 updates tracked since 2022).

About Kelly Wildes Lcsw NPPES

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

KELLY WILDES LCSW (NPI 1083340012) is an individual clinical provider in Lowell, Massachusetts, licensed in Massachusetts (LCSW229108) and active in the NPI registry since August 2022. She maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1083340012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY WILDESCredential: LCSW
Location Address166 CENTRAL STLowell, MA 01852-1910
Mailing Address166 Central StLowell, MA 01852-1910
Phone(978) 513-7300
Sole ProprietorNo
Enumeration DateAugust 1, 2022
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1083340012 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 MA · LCSW229108
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.
166 CENTRAL ST, Lowell, MA 01852
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Secondary Practice Location 1

Location 1133 Chestnut Hill AvenueBrighton, MA 02135 · Phone (857) 299-0371

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.

GABRIELLA SWEENEY
Nurse Practitioner (Family)
166 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 513-7300
MANDILEE ADON
Registered Nurse
166 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 513-7300
SAKHOM SUE HUOT
Registered Nurse
166 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 513-7241
JENNIFER SUON RN
Registered Nurse
166 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 513-7300
ANGELA Y DING NP
Family Medicine (Geriatric Medicine)
166 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 513-7300
JUNE COSTA LICSW
Social Worker (Clinical)
166 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 513-7300
NANCY BROWN PTA
Physical Therapy Assistant
166 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 513-7300
CATHARINE MURPHY MURRAY RN
Registered Nurse (Community Health)
166 CENTRAL ST
LOWELL, MA 01852
Middlesex County (978) 513-7300

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 Kelly Wildes's NPI number?

The NPI number for Kelly Wildes is 1083340012. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Kelly Wildes located?

Kelly Wildes practices at 166 Central St, Lowell, MA 01852. The listed phone number is (978) 513-7300.

What is Kelly Wildes'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 Kelly Wildes was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.