Individual provider · Type 1 NPI
Devi Sophia Wise, LCSW
Clinical Social Worker · Moreno Valley, CA
Practice location
12625 Frederick St Ste I5-133
Moreno Valley, CA 92553-5216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW81804 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | LCSW101454 (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 1457880320
Devi Sophia Wise, LCSW's National Provider Identifier is 1457880320, issued on Jun 5, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moreno Valley, CA. The record was last updated on May 28, 2025.