MEREDITH WILD (LCSW) – Clinical Social Worker, NPI 1275237745

MEREDITH WILD (LCSW) is a healthcare provider. based in Carterville, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.025448 (IL). The NPI Number for MEREDITH WILD (LCSW) is 1275237745

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MEREDITH WILD (LCSW)
NPI
1275237745
Phone
(618) 519-9200
Address
109 CALIFORNIA ST
Enumeration Date
29 March 2023
Last Update Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185199200
Graduation Year
2011 (15 years ago)
PAC ID
1759746480
Group Practice PAC ID
1658285671
Professional Enrollment ID
I20230502000353
Address ID
IL629183322CA6355XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,557 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MEREDITH WILD (LCSW)

  • 109 CALIFORNIA ST

    PO BOX 577

    CARTERVILLE, IL 62918

    Phone: (618) 519-9200

    Fax: (618) 985-4635

    Type: Mailing

  • 3111 WILLIAMSON COUNTY PKWY

    MARION, IL 629595235

    Phone: (618) 519-9200

    Fax: (618) 985-9155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230502000353IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62918)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658285671View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)IL
Mental Health CounselorIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

How do I look up MEREDITH WILD (LCSW) by NPI?
Use NPI 1275237745 when you need to reference MEREDITH WILD (LCSW) in forms, claims, or directories.
Is MEREDITH WILD (LCSW) currently active in the NPI registry?
CMS-published data lists MEREDITH WILD (LCSW) as an active registrant.
What field does MEREDITH WILD (LCSW) work in?
You can think of MEREDITH WILD (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is MEREDITH WILD (LCSW)'s primary listing?
We display Carterville, Illinois because that is what the record indicates for MEREDITH WILD (LCSW).
Is MEREDITH WILD (LCSW) a real provider?
This page reflects official NPPES data for NPI 1275237745. Always confirm identity and privileges with the practice and licensing boards.

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