WILDFLOWER THERAPY LLC
NPI 1275373391
Social Worker - Clinical in Waterbury, VT

Active since May 28, 2024
57 S MAIN ST, WATERBURY, VT 05676(978) 831-3196 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2024, Jun 19, 2024 (2 updates tracked since 2024).

About Wildflower Therapy Llc NPPES

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

WILDFLOWER THERAPY LLC (NPI 1275373391) is a healthcare organization registered as a clinical in Waterbury, Vermont and active in the NPI registry since May 2024. The organization lists Jacqueline Shea Goodall, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1275373391
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILDFLOWER THERAPY LLC
Location Address57 S MAIN STWaterbury, VT 05676-1557
Mailing Address67 Fairground RdWaterbury, VT 05676-8903 · (978) 831-3196
Organization SubpartNo
Authorized OfficialJacqueline Shea GoodallOwner/clinician · (978) 831-3196
Enumeration DateMay 28, 2024
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1275373391 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.
57 S MAIN ST, Waterbury, VT 05676

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 2

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

Counselor (Mental Health)
57 S MAIN ST
WATERBURY, VT 05676
Counselor (Mental Health)
57 S MAIN ST
WATERBURY, VT 05676

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 Wildflower Therapy LLC's NPI number?

The NPI number for Wildflower Therapy LLC is 1275373391. It was assigned to this organization in the NPPES registry on May 28, 2024.

Where is Wildflower Therapy LLC located?

Wildflower Therapy LLC is located at 57 S Main St, Waterbury, VT 05676. The listed phone number is (978) 831-3196.

What is Wildflower Therapy 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 Wildflower Therapy LLC was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.