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

Dennis Wildman, CSW

Individual provider Social Worker · NPI 1306567672

Dennis Wildman, CSW is a Clinical Social Worker in North Logan, Utah. Qualified in 2000, 26 years ago. Practices with Ora Counseling, a 5-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
26
Licensed in
UT
In the registry since
2022

Practice location Address checks out

1515 N 400 E Ste 104
North Logan, UT 84341-7595
Phone: (435) 755-6061
Fax: (435) 755-6091
Show map & directions

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

Additional practice locations (4)

  • 5 W 200 N, Brigham City, UT 84302-2109 — (435) 723-7999
  • 325 W Logan Rd, Garden City, UT 84028-7754 — (435) 946-3660
  • 517 W 100 N Ste 110, Providence, UT 84332-9826 — (435) 755-6075
  • 120 S Main St, Randolph, UT 84064-7701 — (435) 755-6061

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 261828-3502 (UT)

Record details

NPI number1306567672
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address517 W 100 N Ste 210, Providence, UT 84332-9826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ora Counseling — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Logan