HEATHER DAVON WILDMAN
NPI 1477862126
Social Worker - Clinical in Boston, MA

Active since September 29, 2010
72 E DEDHAM ST, BOSTON, MA 02118(617) 292-9200 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Davon Wildman NPPES

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

HEATHER DAVON WILDMAN (NPI 1477862126) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (217724) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1477862126
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER DAVON WILDMAN
Location Address72 E DEDHAM STBoston, MA 02118-2315
Mailing Address72 E Dedham StBoston, MA 02118-2315 · (617) 292-9200
Sole ProprietorYes
Enumeration DateSeptember 29, 2010
Last NPPES UpdateJune 4, 2012
NPI 1477862126 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 MA · 217724
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.
72 E DEDHAM ST, Boston, MA 02118

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.

Counselor
72 E DEDHAM ST
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
72 E DEDHAM ST
BOSTON, MA 02118
Behavior Analyst
72 E DEDHAM ST
BOSTON, MA 02118
Social Worker (Clinical)
72 E DEDHAM ST
BOSTON, MA 02118
Social Worker (Clinical)
72 E DEDHAM ST
BOSTON, MA 02118
Social Worker (Clinical)
72 E DEDHAM ST
BOSTON, MA 02118
Social Worker (Clinical)
72 E DEDHAM ST
BOSTON, MA 02118
Counselor (Mental Health)
72 E DEDHAM ST
BOSTON, MA 02118

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 Heather Wildman's NPI number?

The NPI number for Heather Wildman is 1477862126. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Heather Wildman located?

Heather Wildman practices at 72 E Dedham St, Boston, MA 02118. The listed phone number is (617) 292-9200.

What is Heather Wildman'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 Heather Wildman was last updated on June 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.