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WILDWOOD IDENTITY COUNSELING LLC
NPI 1093696247
Social Worker - Clinical in Detroit, MI

Active since September 11, 2025
6011 JOY RD, DETROIT, MI 48204(517) 343-9841 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wildwood Identity Counseling Llc NPPES

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

WILDWOOD IDENTITY COUNSELING LLC (NPI 1093696247) is a healthcare organization registered as a clinical in Detroit, Michigan and active in the NPI registry since September 2025. The organization lists Iris Mapes, Therapist, as its authorized official.

NPPES Registry Identity

NPI1093696247
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILDWOOD IDENTITY COUNSELING LLC
Location Address6011 JOY RDDetroit, MI 48204-2909
Mailing Address7437 Wildwood RdReading, MI 49274-9727 · (517) 343-9841
Phone(517) 343-9841
Organization SubpartNo
Authorized OfficialIris MapesTherapist · (517) 343-9841
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1093696247 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.
6011 JOY RD, Detroit, MI 48204
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

NOEL ULLERY LMSW
Social Worker (Clinical)
6011 JOY RD
DETROIT, MI 48204
Wayne County (313) 455-0129
IRIS MAPES
Social Worker (Clinical)
6011 JOY RD
DETROIT, MI 48204
Wayne County (517) 343-9841
APRICITY ABOUNDING LLC
Social Worker (Clinical)
6011 JOY RD
DETROIT, MI 48204
Wayne County (313) 455-0129

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 Wildwood Identity Counseling LLC's NPI number?

The NPI number for Wildwood Identity Counseling LLC is 1093696247. It was assigned to this organization in the NPPES registry on September 11, 2025.

Where is Wildwood Identity Counseling LLC located?

Wildwood Identity Counseling LLC is located at 6011 Joy Rd, Detroit, MI 48204. The listed phone number is (517) 343-9841.

What is Wildwood Identity Counseling 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 Wildwood Identity Counseling LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.