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KELLY MARGARET WILSON LCSW
NPI 1881242956
Social Worker - Clinical in Fallbrook, CA

Active since August 30, 2019Opted out of Medicare · through Feb 1, 2027
1667 S MISSION RD STE C, FALLBROOK, CA 92028(760) 505-0570 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Aug 30, 2019 (2 updates tracked since 2019).

About Kelly Margaret Wilson Lcsw NPPES

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

KELLY MARGARET WILSON LCSW (NPI 1881242956) is an individual clinical provider in Fallbrook, California, licensed in California (105803) and active in the NPI registry since August 2019. She has opted out of Medicare through February 1, 2027.

NPPES Registry Identity

NPI1881242956
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY MARGARET WILSONCredential: LCSW
Location Address1667 S MISSION RD STE CFallbrook, CA 92028-4113
Mailing Address2404 Gird RdFallbrook, CA 92028-9687 · (760) 505-0570
Phone(760) 505-0570
Sole ProprietorYes
Enumeration DateAugust 30, 2019
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1881242956 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 · 105803
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.
1667 S MISSION RD STE C, Fallbrook, CA 92028
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Margaret Wilson Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2025 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2025
Opt-Out In Effect ThroughFebruary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

CASSANDRA ANN CHATMAN
Marriage & Family Therapist
1667 S MISSION RD STE C
FALLBROOK, CA 92028
San Diego County (760) 286-7774

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 1881242956. It was assigned to this individual provider in the NPPES registry on August 30, 2019.

Where is Kelly Wilson located?

Kelly Wilson practices at 1667 S Mission Rd Ste C, Fallbrook, CA 92028. The listed phone number is (760) 505-0570.

What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Wilson enrolled in Medicare?

No. Kelly Wilson has opted out of Medicare through February 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.