DR. ELIZABETH WISE LICENSED CLINICAL SOCIAL WORKER INC.
NPI 1396414744
Social Worker - Clinical in Pine Mountain Club, CA

Active since September 09, 2021
2500 CEDARWOOD DR., PINE MOUNTAIN CLUB, CA 93222(310) 422-2047 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elizabeth Wise Licensed Clinical Social Worker Inc. NPPES

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

DR. ELIZABETH WISE LICENSED CLINICAL SOCIAL WORKER INC. (NPI 1396414744) is a healthcare organization registered as a clinical in Pine Mountain Club, California and active in the NPI registry since September 2021. The organization lists Elizabeth Wise, Owner, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1396414744
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDR. ELIZABETH WISE LICENSED CLINICAL SOCIAL WORKER INC.
Location Address2500 CEDARWOOD DR.Pine Mountain Club, CA 93222
Mailing AddressPo Box 6750Pine Mountain Club, CA 93222-6750 · (310) 422-2047
Organization SubpartNo
Authorized OfficialElizabeth WiseOwner, Psychotherapist · (310) 422-2047
Enumeration DateSeptember 9, 2021
NPPES CertifiedAugust 24, 2021
NPI 1396414744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2500 CEDARWOOD DR., Pine Mountain Club, CA 93222

Other Names 1

Doing Business AsDr. Elizabeth Wise Licensed Clinical Social Worker Inc.

Other Identifiers 1

Medicaid1255833125CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
2500 CEDARWOOD DR.
PINE MOUNTAIN CLUB, CA 93222

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 Dr. Elizabeth Wise Licensed Clinical Social Worker Inc.'s NPI number?

The NPI number for Dr. Elizabeth Wise Licensed Clinical Social Worker Inc. is 1396414744. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is Dr. Elizabeth Wise Licensed Clinical Social Worker Inc. located?

Dr. Elizabeth Wise Licensed Clinical Social Worker Inc. is located at 2500 Cedarwood Dr., Pine Mountain Club, CA 93222. The listed phone number is (310) 422-2047.

What is Dr. Elizabeth Wise Licensed Clinical Social Worker Inc.'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 Dr. Elizabeth Wise Licensed Clinical Social Worker Inc. was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.