Organization · Type 2 NPI

Wayne Wilson Licensed Clinical Social Worker Inc.

Clinical Social Worker · Costa Mesa, CA

NPI number 1457148405 Active

Practice location

605 Town Center Dr.
Costa Mesa, CA 92626

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1457148405

Wayne Wilson Licensed Clinical Social Worker Inc.'s National Provider Identifier is 1457148405, issued on Apr 23, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Apr 23, 2025.