Willow Nichole Wilde, LCSW
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2023
- Practice locations
- 2
- Practice address
- 11740 Sw 68th Pkwy Suite 200 Suite 200, Tigard, OR 97223-9058
- Practice phone
- Call (971) 352-6984
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mindful Therapy Group - Tigard (SW 68th Pkwy)
Behavioral health practice · Tigard, Oregon
Find Willow Wilde's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Willow Nichole Wilde is a clinical social worker in Springfield, Oregon
Willow Wilde practices at Mindful Therapy Group - Tigard (SW 68th Pkwy) in Tigard, Oregon.
Willow Wilde's NPI, 1205616018, was assigned on October 2, 2023. Willow Wilde holds Oregon license L17959.
- NPI
- 1205616018NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7719456193
- NPI enumeration date
- October 2, 2023
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (971) 352-6984
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Willow Nichole Wilde practices in Tigard and Springfield
Willow Wilde's primary practice is Mindful Therapy Group - Tigard (SW 68th Pkwy), at 11740 Sw 68th Pkwy Suite 200 Suite 200, Tigard, OR 97223-9058. The practice phone is (971) 352-6984. The NPI Registry lists Willow Wilde's practice address as 1238 S 58th St, Springfield, OR 97478.
- Mindful Therapy Group - Tigard (SW 68th Pkwy)Primary11740 Sw 68th Pkwy Suite 200 Suite 200, Tigard, OR 97223-9058Phone(971) 352-6984
- NPI Registry address1238 S 58th St, Springfield, OR 97478
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Willow Nichole Wilde is affiliated with 1 site of care and 1 medical group
Willow Wilde's primary practice is Mindful Therapy Group - Tigard (SW 68th Pkwy) in Tigard, Oregon. The medical group on file is Mindful Therapy Group.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Willow Nichole Wilde's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Willow Wilde practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mindful Therapy Group - Tigard (SW 68th Pkwy) | Available with a free account |
Source: Dmand AI Technology Install Data
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Willow Nichole Wilde is one of 1,667 clinical social workers in Oregon
Social worker is Willow Wilde's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Willow Wilde is licensed in Oregon.
Specialties and state licenses
- Clinical social worker, OregonPrimary
Clinical social workers near Willow Wilde
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Willow Nichole Wilde's patients have a median age of 17
Across all payers, Dmand AI patient panel data puts Willow Wilde's median patient age at 17, with 100% women.
Willow Wilde's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 17
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
How Willow Nichole Wilde takes part in Medicare
Willow Wilde accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Willow Nichole Wilde's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Willow Nichole Wilde
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Willow Nichole Wilde's NPI number?
Willow Nichole Wilde's NPI number is 1205616018. It was assigned on October 2, 2023, and it is active in the NPI Registry.
What does Willow Nichole Wilde specialize in?
Willow Nichole Wilde is a clinical social worker in Springfield, Oregon. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Willow Nichole Wilde practice?
Willow Wilde practices at 11740 Sw 68th Pkwy Suite 200 Suite 200, Tigard, OR 97223-9058. Willow Wilde also practices at 1238 S 58th St, Springfield, OR 97478. Willow Wilde's primary practice is Mindful Therapy Group - Tigard (SW 68th Pkwy) in Tigard, Oregon.
What is Willow Nichole Wilde's office phone number?
The practice phone on file for Willow Wilde is (971) 352-6984.
What is Willow Nichole Wilde's medical license number?
Willow Wilde holds Oregon license L17959.
What medical group is Willow Nichole Wilde part of?
Willow Wilde is linked to Mindful Therapy Group.
Does Willow Nichole Wilde accept Medicare?
Yes. CMS lists Willow Wilde as accepting Medicare assignment.
How long has Willow Nichole Wilde been practicing?
Willow Wilde's NPI was assigned in 2023.
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