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DENNIS WILDMAN CSW
NPI 1306567672
Social Worker in North Logan, UT

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
1515 N 400 E STE 104, NORTH LOGAN, UT 84341(435) 755-6061(435) 755-6091 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dennis Wildman Csw NPPES

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

DENNIS WILDMAN CSW (NPI 1306567672) is an individual social worker in North Logan, Utah, licensed in Utah (261828-3502) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1306567672
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDENNIS WILDMANCredential: CSW
Location Address1515 N 400 E STE 104North Logan, UT 84341-7595
Mailing Address517 W 100 N Ste 210Providence, UT 84332-9826 · (435) 755-6061 · Fax (435) 994-8362
Phone(435) 755-6061
Fax(435) 755-6091
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1306567672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in UT · 261828-3502
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1515 N 400 E STE 104, North Logan, UT 84341
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Secondary Practice Locations 4

Location 1120 S Main StRandolph, UT 84064-7701 · Phone (435) 755-6061 · Fax (435) 994-3806
Location 2325 W Logan RdGarden City, UT 84028-7754 · Phone (435) 946-3660 · Fax (435) 946-8215
Location 35 W 200 NBrigham City, UT 84302-2109 · Phone (435) 723-7999 · Fax (435) 723-7331
Location 4517 W 100 N Ste 110Providence, UT 84332-9826 · Phone (435) 755-6075 · Fax (435) 374-0502

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

Dennis Wildman Csw 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 ID7315248507
PECOS Enrollment IDI20240209001455
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.

Other Providers at the Same Location NPPES 10

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

BEAR LAKE COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 946-3660
TYLER ANDERSON CSW
Social Worker
1515 N 400 E STE 104
LOGAN, UT 84341
Cache County (208) 232-7862
BOSTON WEBB DMD
Dentist
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (208) 232-7862
RYAN MACKAY AUSTIN MSN, APRN, FNP-C
Nurse Practitioner (Family)
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
HEALTH WEST, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
MATTHEW JOSEPH EDRINGTON
Social Worker (Clinical)
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
DR. JEREMY C STARR DO
Family Medicine
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
SIDNEY BRYCE HILL LCSW
Social Worker
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061

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 Dennis Wildman's NPI number?

The NPI number for Dennis Wildman is 1306567672. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Dennis Wildman located?

Dennis Wildman practices at 1515 N 400 E Ste 104, North Logan, UT 84341. The listed phone number is (435) 755-6061.

What is Dennis Wildman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Dennis Wildman enrolled in Medicare?

Yes. Dennis Wildman 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 Dennis Wildman accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Dennis Wildman 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 Dennis Wildman was last updated on September 6, 2022. 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.