MR. SHANE WILSON LCSW
NPI 1336314392
Social Worker - Clinical in Fresno, CA

Active since April 29, 2008
5577 W BEECHWOOD AVE, FRESNO, CA 93722(559) 355-3633 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Shane Wilson Lcsw NPPES

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

MR. SHANE WILSON LCSW (NPI 1336314392) is an individual clinical provider in Fresno, California, licensed in California (LCSW101415) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1336314392
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHANE WILSONCredential: LCSW
Location Address5577 W BEECHWOOD AVEFresno, CA 93722-2806
Mailing Address5577 W Beechwood AveFresno, CA 93722-2806 · (559) 355-3633
Sole ProprietorYes
Enumeration DateApril 29, 2008
Last NPPES UpdateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
NPI 1336314392 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 · LCSW101415
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.

5577 W BEECHWOOD AVE, Fresno, CA 93722

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 Shane Wilson's NPI number?

The NPI number for Shane Wilson is 1336314392. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Shane Wilson located?

Shane Wilson practices at 5577 W Beechwood Ave, Fresno, CA 93722. The listed phone number is (559) 355-3633.

What is Shane 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 Shane Wilson was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.