WILD NORTH COUNSELING LLC
NPI 1174359012
Social Worker - Clinical in Bridgton, ME

Active since September 09, 2024
41 DEPOT ST STE 204, BRIDGTON, ME 04009(207) 803-8735 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wild North Counseling Llc NPPES

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

WILD NORTH COUNSELING LLC (NPI 1174359012) is a healthcare organization registered as a clinical in Bridgton, Maine and active in the NPI registry since September 2024. The organization lists Tighe Blackadar, Owner, as its authorized official.

NPPES Registry Identity

NPI1174359012
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILD NORTH COUNSELING LLC
Location Address41 DEPOT ST STE 204Bridgton, ME 04009-2298
Mailing Address41 Depot St Ste 204Bridgton, ME 04009-2298 · (207) 803-8735
Organization SubpartNo
Authorized OfficialTighe BlackadarOwner · (207) 803-8735
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
NPI 1174359012 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.

41 DEPOT ST STE 204, Bridgton, ME 04009

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)
41 DEPOT ST STE 204
BRIDGTON, ME 04009

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 North Counseling LLC's NPI number?

The NPI number for Wild North Counseling LLC is 1174359012. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Wild North Counseling LLC located?

Wild North Counseling LLC is located at 41 Depot St Ste 204, Bridgton, ME 04009. The listed phone number is (207) 803-8735.

What is Wild North 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 Wild North Counseling LLC was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.