Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205616018 Individual Practitioner Female Practitioner

Willow Nichole Wilde , LCSW

Social Worker - Clinical • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Willow Wilde, LCSW is a certified Social Worker - Clinical practicing in Springfield, OR. With approximately 3 years of clinical experience since completing medical education in 2023, Willow Wilde delivers high-quality medical care to the local community at 1238 S 58TH ST.

Willow Wilde does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1238 S 58th St

Springfield, OR 974785474

Telephone 5416981805

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Springfield, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
43 Specialists

Practicing in Springfield, OR (5148 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilde (3 Years) 3 Yrs
Springfield Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-30
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OR L17959

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 30, 2026

Registered at 1238 S 58TH ST, SPRINGFIELD, OR 974785474 (Tel: 5416981805)

📍
Updated Business Mailing Address April 30, 2026

Registered at 1238 S 58TH ST, SPRINGFIELD, OR 974785474 (Tel: 5416981805)

👤
Provider Name / Credentials Updated April 30, 2026

Recorded as WILLOW WILDE, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2026

Social Worker (License #L17959 in OR)

NPI Profile Active October 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2023

Registered at 28312 MATEER RD, GOLD BEACH, OR 974449650 (Tel: 5416981805)

📍
Updated Business Mailing Address October 02, 2023

Registered at 28312 MATEER RD, GOLD BEACH, OR 974449650 (Tel: 5416981805)

👤
Provider Name / Credentials Updated October 02, 2023

Recorded as WILLOW WILDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2023

Social Worker

🟢
Initial NPI Registration & Enumeration October 02, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205616018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2023
Last Update: April 30, 2026
Sole Proprietor: Yes

Mailing Address

1238 S 58th St

Springfield, OR 974785474

Phone: 5416981805

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.