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JACOB BURTON WICKENHEISER L.C.S.W.
NPI 1205958980
Social Worker - Clinical in Sacramento, CA

Active since April 04, 2007
1526 WATERWHEEL DR, SACRAMENTO, CA 95833(510) 703-2113 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2022, Sep 14, 2022 (2 updates tracked since 2022).

About Jacob Burton Wickenheiser L.c.s.w. NPPES

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

JACOB BURTON WICKENHEISER L.C.S.W. (NPI 1205958980) is an individual clinical provider in Sacramento, California, licensed in California (26297) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1205958980
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB BURTON WICKENHEISERCredential: L.C.S.W.
Location Address1526 WATERWHEEL DRSacramento, CA 95833-2390
Mailing Address1526 Waterwheel DrSacramento, CA 95833-2390
Phone(510) 703-2113
Sole ProprietorYes
Enumeration DateApril 4, 2007
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1205958980 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 · 26297
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.
1526 WATERWHEEL DR, Sacramento, CA 95833
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Other Names 1

Other Name (5)Jake Burton Wickenheiser L.c.s.w.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Violet March 21, 2026

5/5
He has a very gentle soul and a rare precious gem in this world. No one is perfect but he is trying very diligently to be a better person. Ohh, and he has the most fantastic sense of humor!
Provider 5/5 Office Staff 5/5
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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 Jacob Wickenheiser's NPI number?

The NPI number for Jacob Wickenheiser is 1205958980. It was assigned to this individual provider in the NPPES registry on April 4, 2007. The provider is also known as Jake Burton Wickenheiser L.C.S.W..

Where is Jacob Wickenheiser located?

Jacob Wickenheiser practices at 1526 Waterwheel Dr, Sacramento, CA 95833. The listed phone number is (510) 703-2113.

What is Jacob Wickenheiser'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 Jacob Wickenheiser was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.