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WAYNE WILSON LICENSED CLINICAL SOCIAL WORKER INC.
NPI 1457148405
Social Worker - Clinical in Costa Mesa, CA

Active since April 23, 2025
605 TOWN CENTER DR., COSTA MESA, CA 92626(949) 949-0009 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wayne Wilson Licensed Clinical Social Worker Inc. NPPES

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

WAYNE WILSON LICENSED CLINICAL SOCIAL WORKER INC. (NPI 1457148405) is a healthcare organization registered as a clinical in Costa Mesa, California and active in the NPI registry since April 2025. The organization lists Katelyn Dungo, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1457148405
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWAYNE WILSON LICENSED CLINICAL SOCIAL WORKER INC.
Location Address605 TOWN CENTER DR.Costa Mesa, CA 92626
Mailing Address605 Town Center Dr.Costa Mesa, CA 92626
Phone(949) 949-0009
Organization SubpartNo
Authorized OfficialKatelyn DungoHuman Resources · (208) 869-8386
Enumeration DateApril 23, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1457148405 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.
605 TOWN CENTER DR., Costa Mesa, CA 92626
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wayne Wilson Licensed Clinical Social Worker Inc.'s NPI number?

The NPI number for Wayne Wilson Licensed Clinical Social Worker Inc. is 1457148405. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Wayne Wilson Licensed Clinical Social Worker Inc. located?

Wayne Wilson Licensed Clinical Social Worker Inc. is located at 605 Town Center Dr., Costa Mesa, CA 92626. The listed phone number is (949) 949-0009.

What is Wayne Wilson 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 Wayne Wilson Licensed Clinical Social Worker Inc. was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.