Individual provider · Type 1 NPI

Wilton Jan Wielenga, LCSW

Clinical Social Worker · Stockton, CA

NPI number 1528126703 Active

Practice location

1755 W Hammer Lane, Suite 1
Stockton, CA 95209-2900

Call (209) 477-9180 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 5681 (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 1528126703

Wilton Jan Wielenga, LCSW's National Provider Identifier is 1528126703, issued on Dec 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.