MRS. KELLY ANN WILSON
NPI 1528619160
Social Worker - Clinical in Altadena, CA

Active since September 25, 2019
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001(626) 798-6793 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2024, Sep 6, 2023, Sep 25, 2019 (3 updates tracked since 2019).

About Mrs. Kelly Ann Wilson NPPES

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

MRS. KELLY ANN WILSON (NPI 1528619160) is an individual clinical provider in Altadena, California, licensed in California (104732) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1528619160
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLY ANN WILSON
Location Address760 MOUNTAIN VIEW STAltadena, CA 91001-4996
Mailing Address867 N Fair Oaks AvePasadena, CA 91103-3050 · (626) 798-6793
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1528619160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 104732
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 104732 (CA)
760 MOUNTAIN VIEW ST, Altadena, CA 91001

Other Providers at the Same Location NPPES 20

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

Behavior Analyst
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001
Day Training/Habilitation Specialist
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001
Rehabilitation Practitioner
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001
Marriage & Family Therapist
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001
Social Worker (Clinical)
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001
Marriage & Family Therapist
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001
Community Health Worker
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001
Rehabilitation Practitioner
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001

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 Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1528619160. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Kelly Wilson located?

Kelly Wilson practices at 760 Mountain View St, Altadena, CA 91001. The listed phone number is (626) 798-6793.

What is Kelly 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 Kelly Wilson was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.