WILD OHIO THERAPY FARM
NPI 1104404920
Social Worker - Clinical in Zanesville, OH

Active since April 01, 2021
415 LAKE VISTA DR, ZANESVILLE, OH 43701(740) 319-1666 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Apr 1, 2021 (2 updates tracked since 2021).

About Wild Ohio Therapy Farm NPPES

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

WILD OHIO THERAPY FARM (NPI 1104404920) is a healthcare organization registered as a clinical in Zanesville, Ohio and active in the NPI registry since April 2021. The organization lists Stephen Kelty, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104404920
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILD OHIO THERAPY FARM
Location Address415 LAKE VISTA DRZanesville, OH 43701-7552
Mailing Address415 Lake Vista DrZanesville, OH 43701-7552 · (740) 319-1666
Organization SubpartNo
Authorized OfficialStephen KeltyOffice Manager · (614) 370-1033
Enumeration DateApril 1, 2021
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1104404920 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.
415 LAKE VISTA DR, Zanesville, OH 43701

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

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

Social Worker (Clinical)
415 LAKE VISTA DR
ZANESVILLE, OH 43701

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 Ohio Therapy Farm's NPI number?

The NPI number for Wild Ohio Therapy Farm is 1104404920. It was assigned to this organization in the NPPES registry on April 1, 2021.

Where is Wild Ohio Therapy Farm located?

Wild Ohio Therapy Farm is located at 415 Lake Vista Dr, Zanesville, OH 43701. The listed phone number is (740) 319-1666.

What is Wild Ohio Therapy Farm'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 Ohio Therapy Farm was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.