SAMANTHA C WILDE (NPI# 1427675446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427675446 |
| Entity Type | Individual |
| Full Name | SAMANTHA C WILDE |
| Credential | LSW |
| Practice Address |
775 Lexington Ave Mansfield OH 44907-1906 |
| Mailing Address |
2000 Noble Dr Wooster OH 44691-5353 |
| Practice Telephone | 4197744010 |
| Mailing Telephone | 3302643232 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | S.1500654 | OH | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 1500654 | OH | Behavioral Health & Social Service Providers |
| Street Address |
775 LEXINGTON AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255379269 | Southerncare, Inc. | Hospice Care, Community Based | 775 Lexington Ave, Suite M, Mansfield, OH 44907-1906 | 2006-06-02 |
| 1558981019 | Timothy Lee Pawlaczyk | Registered Nurse | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2020-04-24 |
| 1700421013 | Brittany J Vantilburg | Case Manager/Care Coordinator | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2019-11-11 |
| 1306491634 | Katherine M Oslie | Social Worker | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2019-08-04 |
| 1255818845 | Amber Ferguson | Case Manager/Care Coordinator | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-07-26 |
| 1881184828 | Michelle A Denny | Behavior Technician | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-05-15 |
| 1841780913 | John Vincent Ajian Jr. | Behavior Technician | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-05-15 |
| 1952891988 | Naomi Ruth Knipp | Behavior Technician | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-05-15 |
| 1467955310 | Rebekah Joy Carroll | Registered Nurse | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-03-16 |
| 1992224471 | Sarah Ann Dean | Counselor | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806732 | Triple 777 Ranch & Equine Rehab Facility | Social Worker | 7039 County Road 57, Mansfield, OH 44904-9638 | 2019-08-13 |
| 1952811523 | Emily Nichols | Social Worker | 1550 S Main St Ste 2, Mansfield, PA 16933-9586 | 2017-10-09 |
| 1821516006 | Tonyua Renee Cleveland | Social Worker | 600 Strada Cir Ste 216, Mansfield, TX 76063-3209 | 2017-09-07 |
| 1154855310 | Emily Uline-olmstead | Social Worker | 780 Park Ave W, Suite D, Mansfield, OH 44906-3009 | 2017-04-14 |
| 1144779653 | Nancy Durkin | Social Worker | 60 Rumford Ave, Mansfield, MA 02048-2115 | 2016-09-26 |
| 1043686819 | Karen Lynn Mcgugin | Social Worker | 445 Longview Ave W, Mansfield, OH 44903-4155 | 2015-08-17 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| 1770823064 | Tina Marie Abbott | Social Worker | 1 Dorsett Dr, Mansfield, PA 16933-1517 | 2013-02-22 |
| 1215293568 | Kristen Joann Garn | Social Worker | 741 Scholl Road, Mansfield, OH 44907-1578 | 2012-04-11 |
| 1891076444 | Julie Anne Taylor | Social Worker | 1221 South Trimble Road Building C, Mansfield, OH 44907 | 2011-09-08 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.