Individual provider · Type 1 NPI

Laterra Sharice Wilson

Clinical Social Worker · Stockton, CA

NPI number 1962827279 Active

Practice location

2495 W March Ln, # 125
Stockton, CA 95207-8251

Call (209) 465-1080 Map

Fax (209) 465-2709

Mailing address

2495 W March Ln Ste 125
Stockton, CA 95207-8224

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X118662 (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 1962827279

Laterra Sharice Wilson's National Provider Identifier is 1962827279, issued on Feb 24, 2014. 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 22, 2026.