WILD TERRAIN THERAPY LLC
NPI 1538912134
Social Worker - Clinical in Phoenix, AZ

Active since April 11, 2024
11811 N TATUM BLVD, PHOENIX, AZ 85028(480) 721-9593 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wild Terrain Therapy Llc NPPES

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

WILD TERRAIN THERAPY LLC (NPI 1538912134) is a healthcare organization registered as a clinical in Phoenix, Arizona and active in the NPI registry since April 2024. The organization lists Danielle Bosma, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538912134
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILD TERRAIN THERAPY LLC
Location Address11811 N TATUM BLVDPhoenix, AZ 85028-1614
Mailing AddressPo Box 31853Phoenix, AZ 85046-1853 · (480) 721-9593
Organization SubpartNo
Authorized OfficialDanielle BosmaCeo · (480) 798-2498
Enumeration DateApril 11, 2024
NPPES CertifiedApril 11, 2024
NPI 1538912134 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.
11811 N TATUM BLVD, Phoenix, AZ 85028

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 12

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

Hospice Care, Community Based
11811 N TATUM BLVD, SUITE 3031-40
PHOENIX, AZ 85028
Psychologist
11811 N TATUM BLVD, SUITE 3031
PHOENIX, AZ 85028
Social Worker (Clinical)
11811 N TATUM BLVD
PHOENIX, AZ 85028
Counselor (Mental Health)
11811 N TATUM BLVD, 4040
PHOENIX, AZ 85028
Psychologist (Clinical)
11811 N TATUM BLVD
PHOENIX, AZ 85028
Psychologist (Forensic)
11811 N TATUM BLVD, P115
PHOENIX, AZ 85028
Technician (Personal Care Attendant)
11811 N TATUM BLVD, SUITE 3031
PHOENIX, AZ 85028
Counselor (Professional)
11811 N TATUM BLVD, SUITE 3031
PHOENIX, AZ 85028

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 Wild Terrain Therapy LLC's NPI number?

The NPI number for Wild Terrain Therapy LLC is 1538912134. It was assigned to this organization in the NPPES registry on April 11, 2024.

Where is Wild Terrain Therapy LLC located?

Wild Terrain Therapy LLC is located at 11811 N Tatum Blvd, Phoenix, AZ 85028. The listed phone number is (480) 721-9593.

What is Wild Terrain 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 Wild Terrain Therapy LLC was last updated on April 11, 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.