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

Robert Lae Wild, LICSW

Individual provider Clinical Social Worker · NPI 1588225585

Robert Lae Wild, LICSW is a Clinical Social Worker in Cambridge, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019
What do these letters mean?
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

47 Thorndike St
Cambridge, MA 02141-1799
Phone: (617) 405-5495
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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 LICSW1121518 (MA)

Record details

NPI number1588225585
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 21, 2019
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address165 Middlesex Ave # 1149, Somerville, MA 02145-1105

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