WILDWOOD LICENSED CLINICAL SOCIAL WORK, PLLC
NPI 1780524454
Social Worker - Clinical in West Seneca, NY

Q: What is Wildwood Licensed Clinical Social Work, PLLC's specialty?

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

Active since March 31, 2026

40 GARDENVILLE PKWY W STE 114, WEST SENECA, NY 14224(585) 465-9556 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Wildwood Licensed Clinical Social Work, Pllc NPPES

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

WILDWOOD LICENSED CLINICAL SOCIAL WORK, PLLC (NPI 1780524454) is a healthcare organization registered as a clinical in West Seneca, New York and active in the NPI registry since March 2026. The organization lists Alyssa A Swatkowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1780524454

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameWILDWOOD LICENSED CLINICAL SOCIAL WORK, PLLC

Location Address40 GARDENVILLE PKWY W STE 114West Seneca, NY 14224-1387

Mailing Address40 Gardenville Pkwy W Ste 114West Seneca, NY 14224-1387 · (585) 465-9556

Phone(585) 465-9556

Organization SubpartNo

Authorized OfficialAlyssa A SwatkowskiOwner · (585) 465-9556

Enumeration DateMarch 31, 2026

Last NPPES UpdateApril 2, 2026

NPPES CertifiedApril 2, 2026

✔ NPI 1780524454 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.

40 GARDENVILLE PKWY W STE 114, West Seneca, NY 14224

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wildwood Licensed Clinical Social Work, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wildwood Licensed Clinical Social Work, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alyssa Swatkowski, LCSW

Clinical Social Worker

NPI 1083197040

326 ORCHARD PARK ROAD
West Seneca, NY 14224

(716) 828-0560

✔ PECOS✔ Accepts Medicare2.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wildwood Licensed Clinical Social Work, PLLC's NPI number?

The NPI number for Wildwood Licensed Clinical Social Work, PLLC is 1780524454. It was assigned to this organization in the NPPES registry on March 31, 2026.

Where is Wildwood Licensed Clinical Social Work, PLLC located?

Wildwood Licensed Clinical Social Work, PLLC is located at 40 Gardenville Pkwy W Ste 114, West Seneca, NY 14224. The listed phone number is (585) 465-9556.

What is Wildwood Licensed Clinical Social Work, PLLC's specialty?

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

Is Wildwood Licensed Clinical Social Work, PLLC enrolled in Medicare?

Yes. Wildwood Licensed Clinical Social Work, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wildwood Licensed Clinical Social Work, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wildwood Licensed Clinical Social Work, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wildwood Licensed Clinical Social Work, PLLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.