Olivia Wilde is a Clinical Social Worker practicing in Phoenix, Arizona. The National Provider Identifier (NPI) is #1730817222, which was assigned on August 11, 2022, and the registration record was last updated on March 13, 2025. The practitioner's main practice location is at 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536; the contact telephone number is 6022307373, and the fax number is 6024415836. The primary taxonomy of Olivia Wilde is Clinical Social Worker (1041C0700X), with specialization in Clinical. Olivia Wilde is licensed to practice in the state of Arizona (#LCSW-22508).
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
| NPI | 1730817222 |
| Entity Type | Individual |
| Provider Name | OLIVIA WILDE |
| Gender | Female |
| Credential | LCSW |
| Practice Address |
610 E Baseline Rd Ste 5 Phoenix AZ 85042-6536 |
| Practice Telephone | 6022307373 |
| Practice Fax Number | 6024415836 |
| Mailing Address |
3101 N Central Ave Ste 550 Phoenix AZ 85012-2635 |
| Mailing Telephone | 6022307373 |
| Mailing Fax Number | 6026827455 |
| Certification Date | 2025-03-13 |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2025-03-13 |
| Is Sole Proprietor | N |
| PAC ID |
1557881919 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | OLIVIA WILDE |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Address |
3101 N Central Ave Suite 550 Phoenix AZ 85012-2635 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker | Clinical | LCSW-22508 | AZ |
| Address | Telephone | Fax |
|---|---|---|
| 3033 N Central Ave Ste 700, Phoenix, AZ 850122806 | 6022307373 | 6022578029 |
| 3330 N 2nd St Ste 601, Phoenix, AZ 850122395 | 6022307373 | 6022305105 |
| 77 E Columbus Ave Ste 210, Phoenix, AZ 850122351 | 6022307373 | 6027612537 |
| Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| Classification | Social Worker |
| Specialization | Clinical |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|
| Candor and Hope Therapy Inc | 3659 Green Rd Ste 322, Beachwood, OH 44122-5715 | Clinical Social Worker | 2025-10-11 |
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| Annette Velo | 6631 Stephens Ranch Rd, La Verne, CA 91750-1146 | Clinical Social Worker | 2025-10-11 |
| Michelle Renee Jessen | 477 Madrona Dr, Friday Harbor, WA 98250-8515 | Clinical Social Worker | 2025-10-10 |
| Kimberly Mercedes West | 50 Irving St Nw, Washington, DC 20422-0001 | Clinical Social Worker | 2025-10-11 |
| Mary Yund | 26220 Center Ridge Rd, Westlake, OH 44145-4016 | Clinical Social Worker | 2025-10-11 |
| Ava Tricianne Knebel | 2120 Us Highway 190 W, Livingston, TX 77351-9602 | Clinical Social Worker | 2025-10-11 |
| The Kindness Therapy | 10300 Westlake Dr Apt 405, Bethesda, MD 20817-6442 | Clinical Social Worker | 2025-10-11 |
| Kimberly Robertson | 310 Claudia Autumn Dr, Bakersfield, CA 93314-4766 | Clinical Social Worker | 2025-10-11 |
| Kimberly Mckay | 525 S 4th St Ste 363, Philadelphia, PA 19147-1583 | Clinical Social Worker | 2025-10-10 |
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| Street Address |
610 E BASELINE RD STE 5 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-6536 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Maureen Seifert | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Mental Health Counselor | 2021-03-22 |
| Erin Brugger Mcdonald | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Registered Nurse | 2023-01-19 |
| Carly Mcgee | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Mental Health Counselor | 2025-02-13 |
| Mark Travis Callesen | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Psychiatry Physician | 2006-08-30 |
| Kimberli Mae Spencer | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Primary Care Nurse Practitioner | 2021-05-25 |
| Jody Moore | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Counselor | 2021-12-27 |
| Jennifer Woodson · Jennifer Degraffe | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Clinical Social Worker | 2013-04-02 |
| Kathryn Ann Rock-Polich | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Mental Health Counselor | 2021-02-03 |
| Colleen C Casson | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Professional Counselor | 2017-02-28 |
| Gisso Welsh | 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536 | Professional Counselor | 2023-01-13 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lauren Engler | 303 E Baseline Rd, Phoenix, AZ 85042-6530 | Obstetrics & Gynecology Physician | 2017-05-18 |
| Vivoride Solution LLC | 7517 S 14th St, Phoenix, AZ 85042-5666 | Non-emergency Medical Transport (VAN) | 2025-06-02 |
| Ailady Mota Mariscal | 7236 S Central Ave, Phoenix, AZ 85042-5425 | Behavior Technician | 2025-10-08 |
| Gracie Gonzalez Padilla | 7125 S 7th St, Phoenix, AZ 85042-4245 | Counselor | 2025-04-08 |
| Tarah Given Daneker | 2719 E Carson Rd, Phoenix, AZ 85042-5926 | Critical Care Medicine Registered Nurse | 2025-09-06 |
| Serenity Home Care LLC | 6858 S 19th St, Phoenix, AZ 85042-5770 | Physical Disabilities Residential Treatment Facility | 2020-10-10 |
| Care for Kids of Arizona, LLC | 7006 S Central Ave, Phoenix, AZ 85042-5423 | General Practice Dentistry | 2007-02-09 |
| Ar Cranial Prothesis LLC | 2014 E Saint Catherine Ave, Phoenix, AZ 85042-4667 | Prosthetic/Orthotic Supplier | 2025-08-25 |
| Dignity Health Behavioral Services | 6911 S 13th Pl, Phoenix, AZ 85042-5818 | Community/Behavioral Health Agency | 2025-04-28 |
| Cecelia Bernal | 7009 S 10th St, Phoenix, AZ 85042-5520 | Licensed Practical Nurse | 2025-09-04 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kailey Wilde | 13422 N 50th St, Scottsdale, AZ 85254-3510 | Social Worker | 2022-07-19 |
| Herschel W. Wilde | 4401 Harrison Blvd, Ogden, UT 84403-3195 | Psychiatry Physician | 2021-04-20 |
| Lauren Wilde | 9071 S 1300 W Ste 205, West Jordan, UT 84088-6725 | Clinical Social Worker | 2018-10-11 |
| David Chamberlayne Wilde Jr. | 171 Ashley Ave, Charleston, SC 29425-0100 | Student in an Organized Health Care Education/Training Program | 2019-04-02 |
| Hunter Wilde · Shawnie Wilde | 4856 Innovation Dr, Fort Collins, CO 80525-5539 | Driver | 2022-08-02 |
| Nicholas Emil Wilde | 841 Prudential Dr Ste 1400, Jacksonville, FL 32207-8364 | Emergency Medicine Physician | 2022-03-26 |
| Christoher Wilde | 2500 Overlook Ter, Madison, WI 53705-2254 | Pedorthist | 2025-06-25 |
| Madison Wilde | 1150 First Ave, King of Prussia, PA 19406-1334 | Marriage & Family Therapist | 2025-09-11 |
| Chelbi Wilde | 5121 S Cottonwood St, Murray, UT 84107-5701 | Critical Care Medicine Nurse Practitioner | 2018-01-02 |
| Jeffrey Wilde Md PLLC | 302 El Camino Real Bldg 11, Sierra Vista, AZ 85635-2860 | Family Medicine Physician | 2019-08-30 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |