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MR. WILTON JAN WIELENGA LCSW
NPI 1528126703
Social Worker - Clinical in Stockton, CA

Active since December 04, 2006
1755 W HAMMER LANE, SUITE 1, STOCKTON, CA 95209(209) 477-9180 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mr. Wilton Jan Wielenga Lcsw NPPES

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

MR. WILTON JAN WIELENGA LCSW (NPI 1528126703) is an individual clinical provider in Stockton, California, licensed in California (LCS 5681) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1528126703
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. WILTON JAN WIELENGACredential: LCSW
Location Address1755 W HAMMER LANE, SUITE 1Stockton, CA 95209-2900
Mailing Address1755 W Hammer Lane, Suite 1Stockton, CA 95209-2900 · (209) 477-9180 · Fax (209) 952-8520
Phone(209) 477-9180
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528126703 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 · LCS 5681
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.
1755 W HAMMER LANE, Stockton, CA 95209
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Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ79444Z

Other Providers at the Same Location NPPES

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

MRS. ALICE ELAINE MCNALLY LCSW
Social Worker (Clinical)
1755 W HAMMER LANE, SUITE 1
STOCKTON, CA 95209
San Joaquin County (209) 952-1403

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 Wilton Wielenga's NPI number?

The NPI number for Wilton Wielenga is 1528126703. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Wilton Wielenga located?

Wilton Wielenga practices at 1755 W Hammer Lane Suite 1, Stockton, CA 95209. The listed phone number is (209) 477-9180.

What is Wilton Wielenga'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 Wilton Wielenga was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.