Individual provider · Type 1 NPI

Kalkidan Wilson, LICSW

Clinical Social Worker · Sedro Woolley, WA

NPI number 1760138226 Active

Practice location

1960 Thompson Dr
Sedro Woolley, WA 98284-5007

Call (360) 856-3186 Map

Mailing address

522 W Riverside Ave # 8143
Spokane, WA 99201-0580

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCO61265316 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400X61265316 (WA)
Clinical Social Worker Primary 1041C0700XSWI.LW.70066580 (WA)

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 1760138226

Kalkidan Wilson, LICSW's National Provider Identifier is 1760138226, issued on Feb 23, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sedro Woolley, WA. The record was last updated on May 13, 2026.