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WILLOW NICHOLE WILDE LCSW
NPI 1205616018
Social Worker - Clinical in Springfield, OR

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
1238 S 58TH ST, SPRINGFIELD, OR 97478(541) 698-1805 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 30, 2026, Oct 2, 2023 (2 updates tracked since 2023).

About Willow Nichole Wilde Lcsw NPPES

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

WILLOW NICHOLE WILDE LCSW (NPI 1205616018) is an individual clinical provider in Springfield, Oregon, licensed in Oregon (L17959) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205616018
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameWILLOW NICHOLE WILDECredential: LCSW
Location Address1238 S 58TH STSpringfield, OR 97478-5474
Mailing Address1238 S 58th StSpringfield, OR 97478-5474 · (541) 698-1805
Phone(541) 698-1805
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 2, 2023
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1205616018 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 OR · L17959
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.
1238 S 58TH ST, Springfield, OR 97478
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Willow Nichole Wilde Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719456193
PECOS Enrollment IDI20260514002893
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97478 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Willow Wilde's NPI number?

The NPI number for Willow Wilde is 1205616018. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Willow Wilde located?

Willow Wilde practices at 1238 S 58th St, Springfield, OR 97478. The listed phone number is (541) 698-1805.

What is Willow Wilde's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Willow Wilde enrolled in Medicare?

Yes. Willow Wilde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Willow Wilde accept?

Health plans from Moda Health Plan, Inc. list Willow Wilde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Wilde was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.