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Dennis Wildman , CSW

Social Worker • North Logan, UT

Active NPI 1306567672 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1515 N 400 E Ste 104
North Logan, UT 843417595

Call 4357556061 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1515 N 400 E Ste 104

North Logan, UT 843417595

Telephone 4357556061
Fax 4357556091
Organization at the Same NPPES Address or Phone
Bear Lake Community Health Center, Inc. Facility NPI 1063630705

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Brigham City, UT; Garden City, UT; Providence, UT and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Ora Counseling. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2000

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dennis Wildman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dennis Wildman as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in North Logan and Utah

4 active clinicians are listed under Social Worker with a practice address in North Logan, UT (1,922 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES UT 261828-3502

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20240209001455

Enrollment State Jurisdiction

UT

PECOS Control ID

7315248507

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ora Counseling

115 Golf Course Rd, Logan, UT 843215951

Phone: 4352796036

Secondary Practice Locations

120 S Main St

Randolph, UT 840647701

Phone: 4357556061

325 W Logan Rd

Garden City, UT 840287754

Phone: 4359463660

5 W 200 N

Brigham City, UT 843022109

Phone: 4357237999

517 W 100 N Ste 110

Providence, UT 843329826

Phone: 4357556075

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Daren Cole , DDS

Dentist - General Practice

NPI 1356578926

Doctor of Dental Surgery

NPI 1033156849

Doctor of Osteopathic Medicine (D.O.)

Mandi Lew , CNM

Advanced Practice Midwife

NPI 1568829109

Certified Nurse Midwife

Keisa Lynch

Nurse Practitioner - Family

NPI 1972768539
NPI 1720496714

Doctor of Dental Medicine

Dr. Selanie Sanone , DNP

Nurse Practitioner

NPI 1932380839

Doctor of Nursing Practice

Career & Practice History

NPI enumerated September 06, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2022 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1306567672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2022
Last Update: September 06, 2022
Sole Proprietor: No

Mailing Address

517 W 100 N Ste 210

Providence, UT 843329826

Phone: 4357556061

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.