Individual provider · Type 1 NPI

Thomas L. De Wildt, LCSW

Clinical Social Worker · Poway, CA

NPI number 1124038500 Active

Practice location

15525 Pomerado Rd, Suite A-7
Poway, CA 92064-2435

Call (858) 279-1223 Map

Fax (858) 673-8519

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 9390 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1124038500

Thomas L. De Wildt, LCSW's National Provider Identifier is 1124038500, issued on Aug 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Poway, CA. The record was last updated on Jul 8, 2007.