Individual provider · Type 1 NPI
Kenneth Wiggins
Clinical Social Worker · Fallbrook, CA
Practice location
328 Seedling Way
Fallbrook, CA 92028-6544
Mailing address
7850 Vista Hill Ave
San Diego, CA 92123-2717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 370069QN (CA) |
| Clinical Social Worker Primary | 1041C0700X | LCSW130143 (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 1194980250
Kenneth Wiggins's National Provider Identifier is 1194980250, issued on Jul 28, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fallbrook, CA. The record was last updated on Jul 3, 2025.