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MR. TOBIAS ALLEN WILDE SR. MSW, LICSW
NPI 1770866485
Social Worker - Clinical in Fargo, ND

Active since September 20, 2011PECOS Enrolled
4422 30TH AVE S APT 309, FARGO, ND 58104(801) 548-8535 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Tobias Allen Wilde Sr. Msw, Licsw NPPES

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

MR. TOBIAS ALLEN WILDE SR. MSW, LICSW (NPI 1770866485) is an individual clinical provider in Fargo, North Dakota, licensed in Minnesota (24970) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770866485
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TOBIAS ALLEN WILDE SR.Credential: MSW, LICSW
Location Address4422 30TH AVE S APT 309Fargo, ND 58104-8441
Mailing Address4422 30th Ave S Apt 309Fargo, ND 58104-8441 · (801) 548-8535
Phone(801) 548-8535
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 20, 2011
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1770866485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MN · 24970✔ Licensed in ND · 5797
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.
4422 30TH AVE S APT 309, Fargo, ND 58104
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Other Names 1

Other Name (5)Mr. Tobias Wilde

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tobias Allen Wilde Sr. Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991230781
PECOS Enrollment IDI20260601001814
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.75 – $168.12
Typical copayment $0.00 (range $13.93 – $42.03)
Most-billed visit code NA
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tobias Wilde's NPI number?

The NPI number for Tobias Wilde is 1770866485. It was assigned to this individual provider in the NPPES registry on September 20, 2011. The provider is also known as Mr. Tobias Wilde.

Where is Tobias Wilde located?

Tobias Wilde practices at 4422 30th Ave S Apt 309, Fargo, ND 58104. The listed phone number is (801) 548-8535.

What is Tobias Wilde's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tobias Wilde enrolled in Medicare?

Yes. Tobias Wilde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tobias Wilde was last updated on February 19, 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.