Willow Nichole Wilde, - Clinical Social Worker in Gold Beach, OR

  1. Home
  2. Clinical Social Workers
  3. OR
  4. Gold Beach
Willow Nichole Wilde, is a Social Worker - Clinical based in Gold Beach, Oregon. Willow Nichole Wilde is licensed to practice in Oregon (license number A14739) and her current practice location is 28312 Mateer Rd, Gold Beach, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 698-1805.

NPI number for Willow Nichole Wilde is 1205616018 and her current mailing address is 28312 Mateer Rd, Gold Beach, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205616018.

Contact Information

Willow Nichole Wilde,
28312 Mateer Rd,
Gold Beach, OR 97444-9650
(541) 698-1805
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameWillow Nichole Wilde
GenderFemale
SpecialitySocial Worker - Clinical
Location28312 Mateer Rd, Gold Beach, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205616018
  • Provider Enumeration Date: 10/02/2023
  • Last Update Date: 02/29/2024

Medical Identifiers

Medical identifiers for Willow Nichole Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205616018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical A14739 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willow Nichole Wilde is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Willow Nichole Wilde,
28312 Mateer Rd,
Gold Beach, OR 97444-9650

Ph: (541) 698-1805		Willow Nichole Wilde,
28312 Mateer Rd,
Gold Beach, OR 97444-9650

Ph: (541) 698-1805

Reviews and Comments


Social Worker in Gold Beach, OR

Ms. Barbara Lynne Meininger, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 29821 Colvin St, Gold Beach, OR 97444
Phone: 541-247-4082    Fax: 541-247-5058
Rachel Hardin,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 29413 Russell St, Gold Beach, OR 97444
Phone: 541-247-6566    Fax: 541-247-6549

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.