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MRS. ELIZABETH L. WISE LCSW
NPI 1255833125
Counselor - Mental Health in Pine Mountain Club, CA

Active since March 06, 2018
2500 CEDARWOOD DR., PINE MOUNTAIN CLUB, CA 93222(310) 422-2047 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2021, Sep 25, 2019, Mar 6, 2018 (3 updates tracked since 2018).

About Mrs. Elizabeth L. Wise Lcsw NPPES

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

MRS. ELIZABETH L. WISE LCSW (NPI 1255833125) is an individual mental health provider in Pine Mountain Club, California, licensed in California (99104) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1255833125
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ELIZABETH L. WISECredential: LCSW
Location Address2500 CEDARWOOD DR.Pine Mountain Club, CA 93222-6750
Mailing AddressPo Box 6750Pine Mountain Club, CA 93222-6750 · (310) 422-2047
Phone(310) 422-2047
Sole ProprietorNo
Enumeration DateMarch 6, 2018
Last NPPES UpdateSeptember 17, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1255833125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 99104
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 75984 (CA)
2500 CEDARWOOD DR., Pine Mountain Club, CA 93222
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Other Names 1

Professional Name (2)Dr. Elizabeth Wise Lcsw, Psyd

Other Identifiers 2

Other1255833125CA · Other
Medicaid75984CA

Other Providers at the Same Location NPPES

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

DR. ELIZABETH WISE LICENSED CLINICAL SOCIAL WORKER INC.
Social Worker (Clinical)
2500 CEDARWOOD DR.
PINE MOUNTAIN CLUB, CA 93222
Kern County (310) 422-2047

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 Elizabeth Wise's NPI number?

The NPI number for Elizabeth Wise is 1255833125. It was assigned to this individual provider in the NPPES registry on March 6, 2018. The provider is also known as Dr. Elizabeth Wise Lcsw, Psyd.

Where is Elizabeth Wise located?

Elizabeth Wise practices at 2500 Cedarwood Dr., Pine Mountain Club, CA 93222. The listed phone number is (310) 422-2047.

What is Elizabeth Wise's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Elizabeth Wise was last updated on September 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.