Ericka Wild, MSW, LICSW

Clinical Social Worker · Edmonds, WA

Individual Active NPI

NPI number 1285155168

Practice location

525 5TH Ave S Ste 102
Edmonds, WA 98020-3612
Phone
(206) 657-5523

Open in Google Maps

NPI record

NPI
1285155168
Entity type
Individual (Type 1)
Enumeration date
June 30, 2017
Last updated
March 3, 2024
Certified
March 3, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X LW61222763 WA
Clinical Social Worker 1041C0700X 130658121 WI

Mailing address

22703 Lakeview Dr Apt E7
Mountlake Terrace, WA 98043-2352
Phone
(206) 657-5523

Other practice locations (1)

  • 22703 Lakeview Dr Apt E7, Mountlake Terrace, WA 98043-2352 · (206) 657-5523

About Ericka Wild

Ericka Wild, MSW, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 525 5TH Ave S Ste 102, Edmonds, WA 98020-3612. The NPI number 1285155168 was assigned on June 30, 2017 and the record was last updated on March 3, 2024.

Ericka Wild lists 2 licenses in the registry: #LW61222763 (WA) for Clinical Social Worker; #130658121 (WI) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ericka Wild, MSW, LICSW?

The NPI number is 1285155168.

What is the phone number of Ericka Wild?

The phone number listed for the practice location is (206) 657-5523.

Where is Ericka Wild located?

525 5TH Ave S Ste 102, Edmonds, WA 98020-3612.

What is the taxonomy code for Ericka Wild?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Clinical Social Worker providers in Edmonds

All Clinical Social Worker providers in Edmonds, WA →