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

Mr. John Mullane Wild, LCSW

Individual provider Clinical Social Worker · NPI 1629371562

Mr. John Mullane Wild, LCSW is a Clinical Social Worker in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2010.

Licensed in
NV
In the registry since
2010
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

6161 W Charleston Blvd Bldg 3A Mct
Las Vegas, NV 89146-1126
Phone: (702) 498-5955
Fax: (702) 486-5755
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 01407C (NV)

Record details

NPI number1629371562
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 15, 2010
Last updated in NPPESDecember 15, 2010

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