MS. LYNNETTE MARIE WILHARDT LCSW
NPI 1114228905
Social Worker - Clinical in Costa Mesa, CA

Active since November 09, 2010Opted out of Medicare · through May 22, 2027
151 KALMUS DR STE C245, COSTA MESA, CA 92626(714) 417-1171 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Lynnette Marie Wilhardt Lcsw NPPES

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

MS. LYNNETTE MARIE WILHARDT LCSW (NPI 1114228905) is an individual clinical provider in Costa Mesa, California, licensed in California (LCS16597) and active in the NPI registry since November 2010. She has opted out of Medicare through May 22, 2027.

NPPES Registry Identity

NPI1114228905
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LYNNETTE MARIE WILHARDTCredential: LCSW
Location Address151 KALMUS DR STE C245Costa Mesa, CA 92626-7954
Mailing AddressPo Box 5245Balboa Island, CA 92662-5245 · (714) 417-1171
Sole ProprietorYes
Enumeration DateNovember 9, 2010
NPI 1114228905 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 CA · LCS16597
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.

151 KALMUS DR STE C245, Costa Mesa, CA 92626

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Lynnette Marie Wilhardt Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2023 through May 22, 2027.

Opt-Out Effective DateMay 22, 2023
Opt-Out In Effect ThroughMay 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114228905, enumerated as an "individual" on November 09, 2010.

The provider is located at 151 KALMUS DR STE C245 COSTA MESA, CA 92626 and the phone number is (714) 417-1171.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.