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

Mr. Tobias Allen Wilde Sr., MSW, LICSW

Individual provider Clinical Social Worker · NPI 1770866485

Mr. Tobias Allen Wilde Sr., MSW, LICSW is a Clinical Social Worker in Fargo, North Dakota. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Minnesota and North Dakota.

Years since qualifying
13
Licensed in
MN, ND
In the registry since
2011
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

4422 30th Ave S Apt 309
Fargo, ND 58104-8441
Phone: (801) 548-8535
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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 24970 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 5797 (ND)

Record details

NPI number1770866485
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedSeptember 20, 2011
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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