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

Wildwood Identity Counseling LLC

Organization Clinical Social Worker · NPI 1093696247

Wildwood Identity Counseling LLC provides Clinical Social Worker services in Detroit, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6011 Joy Rd
Detroit, MI 48204-2909
Phone: (517) 343-9841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1093696247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iris Mapes — Therapist · (517) 343-9841
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address7437 Wildwood Rd, Reading, MI 49274-9727

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