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

Individual provider Clinical Social Worker · NPI 1831764760

Kathleen Marie Wilde, LCSW is a Clinical Social Worker in San Antonio, Texas. Qualified in 2012, 14 years ago. Practices with Nystrom Counseling Mo PC, a 16-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2021
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

7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Phone: (210) 615-3483
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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 2015013670 (MO)

Record details

NPI number1831764760
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Nystrom Counseling Mo Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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