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

Jason M Wildman

Individual provider Clinical Social Worker · NPI 1851624308

Jason M Wildman is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

50 W 23rd St 9th Fl
New York, NY 10010-5205 Not confirmed with CMS for 12 years — call before visiting
Phone: (212) 989-2990
Fax: (212) 792-6058
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 081674 (NY)

Record details

NPI number1851624308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2009
Last updated in NPPESMarch 27, 2014

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