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

Wendell Wild, LCSW-R

Individual provider School Social Worker · NPI 1053683011

Wendell Wild, LCSW-R is a Clinical Social Worker in Orchard Park, New York. Qualified in 1985, 41 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
41
Licensed in
NY
In the registry since
2012

Practice location Address checks out

70 Linwood Ave
Orchard Park, NY 14127-2308
Phone: (716) 675-9232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence R033870-1 (NY)

Record details

NPI number1053683011
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedFebruary 6, 2012
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Not indicated