Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. BLAINE WILSON LCSW, MED
NPI 1063883544
Social Worker - Clinical in Mather, CA

Active since October 09, 2015
10535 HOSPITAL WAY, MATHER, CA 95655(916) 843-6952 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mr. Blaine Wilson Lcsw, Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BLAINE WILSON LCSW, MED (NPI 1063883544) is an individual clinical provider in Mather, California, licensed in Louisiana (13231) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1063883544
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BLAINE WILSONCredential: LCSW, MED
Location Address10535 HOSPITAL WAYMather, CA 95655-4200
Mailing Address10535 Hospital WayMather, CA 95655-4200 · (916) 843-6952
Sole ProprietorYes
Enumeration DateOctober 9, 2015
Last NPPES UpdateSeptember 8, 2026
NPPES CertifiedSeptember 8, 2026
NPI 1063883544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in LA · 13231
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10535 HOSPITAL WAY, Mather, CA 95655

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Specialist
10535 HOSPITAL WAY, DEPT. OF VA SACRAMENTO MEDICAL CENTER
MATHER, CA 95655
Dietitian, Registered
10535 HOSPITAL WAY
MATHER, CA 95655
Marriage & Family Therapist
10535 HOSPITAL WAY
MATHER, CA 95655
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10535 HOSPITAL WAY
MATHER, CA 95655
Internal Medicine
10535 HOSPITAL WAY
MATHER, CA 95655
Psychologist (Clinical)
10535 HOSPITAL WAY
MATHER, CA 95655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaine Wilson's NPI number?

The NPI number for Blaine Wilson is 1063883544. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Where is Blaine Wilson located?

Blaine Wilson practices at 10535 Hospital Way, Mather, CA 95655. The listed phone number is (916) 843-6952.

What is Blaine Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Blaine Wilson was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.