MS. ANGELLUN VANESSA WILDER LCSW
NPI 1346416096
Social Worker - Clinical in Shreveport, LA

Active since May 02, 2008
3004 KNIGHT ST BLDG 6, SHREVEPORT, LA 71105(318) 603-6874 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Social Worker
  • Clinical

About ANGELLUN WILDER

This page provides the complete NPI Profile along with additional information for Angellun Wilder, a provider established in Shreveport, Louisiana with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1346416096 assigned on May 2008. The practitioner's primary taxonomy code is 1041C0700X with license number 2176 (LA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1346416096 Verify this NPI
Provider Name
MS. ANGELLUN VANESSA WILDER LCSW
Other Name
MS. ANGELA VANESSA WILDER LCSW
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
3004 KNIGHT ST BLDG 6 SHREVEPORT, LA 71105
Location Phone
(318) 603-6874
Mailing Address
4443 PINES RD SHREVEPORT, LA 71119
Mailing Phone
(318) 631-3792
Is Sole Proprietor?
No
Enumeration Date
05-02-2008
Last Update Date
05-02-2008
Code Navigator

A clinical social worker like Angellun Wilder is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
2176
License State
LA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171000000XOther Service Providers

Military Health Care Provider

2176 (LA)

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
3004 KNIGHT ST BLDG 6
SHREVEPORT, LA 71105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346416096, enumerated as an "individual" on May 02, 2008.

The provider is located at 3004 KNIGHT ST BLDG 6 SHREVEPORT, LA 71105 and the phone number is (318) 603-6874.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.