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MEREDITH WILD LCSW
NPI 1275237745
Social Worker - Clinical in Marion, IL

Active since March 29, 2023PECOS EnrolledAccepts Medicare Assignment
3111 WILLIAMSON COUNTY PKWY, MARION, IL 62959(618) 519-9200(618) 985-9155 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meredith Wild Lcsw NPPES

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

MEREDITH WILD LCSW (NPI 1275237745) is an individual clinical provider in Marion, Illinois, licensed in Illinois (149.025448) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1275237745
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMEREDITH WILDCredential: LCSW
Location Address3111 WILLIAMSON COUNTY PKWYMarion, IL 62959-5235
Mailing Address109 California St, Po Box 577Carterville, IL 62918 · (618) 519-9200 · Fax (618) 985-4635
Phone(618) 519-9200
Fax(618) 985-9155
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1275237745 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 IL · 149.025448
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.
3111 WILLIAMSON COUNTY PKWY, Marion, IL 62959
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Other Names 1

Former Name (1)Meredith Kiesling

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

Meredith Wild 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 ID1759746480
PECOS Enrollment IDI20230502000353
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 62959 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

DR. CHARLES K HEES PH.D.
Psychologist (Counseling)
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 997-3647
MRS. LEIGH ANN HERTTER PTA
Physical Therapy Assistant
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 998-9894
TIFFANY TODD LCSW
Social Worker (Clinical)
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 519-9200
MARY LOUISE GRAY
Registered Nurse (Psychiatric/Mental Health)
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 997-3647
CHESI MARION CENTRE CLINIC
Clinic/Center
3111 WILLIAMSON COUNTY PKWY, OFFICE A3
MARION, IL 62959
Williamson County (618) 734-4400
MRS. LIUDMILA VASILETS MD
Internal Medicine
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 519-9200
MRS. MONETTE R LOGUE BSW
Counselor (Mental Health)
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 997-3647
CNETERSTONE OF ILLINOIS INC
Community/Behavioral Health
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959
Williamson County (618) 937-6483

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 Meredith Wild's NPI number?

The NPI number for Meredith Wild is 1275237745. It was assigned to this individual provider in the NPPES registry on March 29, 2023. The provider is also known as Meredith Kiesling.

Where is Meredith Wild located?

Meredith Wild practices at 3111 Williamson County Pkwy, Marion, IL 62959. The listed phone number is (618) 519-9200.

What is Meredith Wild's specialty?

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

Is Meredith Wild enrolled in Medicare?

Yes. Meredith Wild 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.

When was this NPI record last updated?

The NPPES record for Meredith Wild was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.