Individual provider · Type 1 NPI

Hazel Carlos Wiesse-Perez, MSW, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1235488263 Active

Practice location

4065 3rd Ave
San Diego, CA 92103-2184

Call (619) 515-2419 Map

Mailing address

8690 Aero Dr Ste 115-260
San Diego, CA 92123-1886

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW93274 (CA)
Social Worker	104100000X	None listed
Mental Health Counselor	101YM0800X	None listed
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed

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 1235488263

Hazel Carlos Wiesse-Perez, MSW, LCSW's National Provider Identifier is 1235488263, issued on Sep 6, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 16, 2026.