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

Eric C. Wilde, LCSW

Individual provider Clinical Social Worker · NPI 1336438795

Eric C. Wilde, LCSW is a Clinical Social Worker in Pelham, New York. Qualified in 1991, 35 years ago. Practices with Jewish Board of Family and Childrens Services Inc, a 127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4784 Boston Post Rd Apt B61
Pelham, NY 10803-3022
Phone: (914) 336-2274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 075102-01 (NY)

Record details

NPI number1336438795
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 6, 2011
Last updated in NPPESNovember 23, 2024
Certification dateNovember 23, 2024
Mailing address4784 Boston Post Rd Apt B61, Pelham, NY 10803-3022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Jewish Board Of Family And Childrens Services Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pelham