Individual provider · Type 1 NPI
Wayne R. Wilson, LCSW
Clinical Social Worker · Altadena, CA
Practice location
70 East Terrace Dr
Altadena, CA 91101
Mailing address
736 Bridge St Unit 11
Vernonia, OR 97064-1285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW75482 (CA) |
| Clinical Social Worker Primary | 1041C0700X | LCSW91441 (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 1841737673
Wayne R. Wilson, LCSW's National Provider Identifier is 1841737673, issued on Jan 31, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Altadena, CA. The record was last updated on Aug 8, 2024.