Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Ohio Therapy Farm

Organization Clinical Social Worker · NPI 1104404920

Wild Ohio Therapy Farm is a Clinical Social Worker in Zanesville, Ohio. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

415 Lake Vista Dr
Zanesville, OH 43701-7552
Phone: (740) 319-1666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1104404920
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Kelty — Office Manager · (614) 370-1033
NPI enumeratedApril 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address415 Lake Vista Dr, Zanesville, OH 43701-7552

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