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

Individual provider Clinical Social Worker · NPI 1023061801

Kathleen Wild, LCSW is a Clinical Social Worker in Las Vegas, Nevada. Qualified in 2000, 26 years ago. Practices with Unlv Medicine, a 180-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
26
Licensed in
NV
In the registry since
2006
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

6375 W Charleston Blvd Ste A100
Las Vegas, NV 89146-1139
Phone: (702) 253-0818
Fax: (702) 253-9625
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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 5457 C (NV)

Record details

NPI number1023061801
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021

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 Unlv Medicine — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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