JENNIFER DE WILDT (NPI# 1801485974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801485974 |
| Entity Type | Individual |
| Full Name | JENNIFER DE WILDT |
| Gender | Female |
| Credential | LCSW |
| Practice Address | 4550 Kearny Villa Rd Ste 114 San Diego CA 92123-1574 |
| Practice Telephone | 8582791223 |
| Mailing Address | 4550 Kearny Villa Rd Ste 114 San Diego CA 92123-1574 |
| Mailing Telephone | 8582791223 |
| Certification Date | 2021-01-13 |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker Specialization: Clinical | 92578 | CA | Behavioral Health & Social Service Providers |
| Street Address | 4550 KEARNY VILLA RD STE 114 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972659761 | Michael Gene Ondrusek | Psychologist · Clinical | 4550 Kearny Villa Rd, Ste 109, San Diego, CA 92123-1574 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841881091 | William Aaron Schlesinger | Acupuncturist | 8555 Aero Dr. Suite 107, San Diego, CA 92123 | 2021-01-31 |
| 1669075339 | Lynette Rivers | Psychologist | 2901 Meadow Lark Drive, San Diego, CA 92123 | 2020-11-17 |
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong · Gina Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer · Brittany Lombardi | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher · Tanisha C Cowan | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992395677 | Sonya Davis | 236 Kalmia St Apt 303, San Diego, CA 92101-1555 | 2021-01-26 | |
| 1568051308 | Jennifer Ann Burgraff | 6867 Golfcrest Dr Apt 57, San Diego, CA 92119-2444 | 2021-01-15 | |
| 1518556604 | Katelyn Jeanne Ouimet | 4055 Park Blvd, San Diego, CA 92103-2619 | 2021-01-13 | |
| 1720677180 | Teri Ashley Dunbar | 4452 Highland Ave Apt 1, San Diego, CA 92115-4345 | 2021-01-11 | |
| 1194338087 | Courage Over Comfort Counseling Licensed Clinical Social Worker PC | 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 | 2020-08-28 | |
| 1619580057 | Joseph Stephen Mcconico | 5274 Mount Alifan Dr, San Diego, CA 92111-2621 | 2020-08-25 | |
| 1821600529 | David James Prince | 1498 13th Street Bldg 184, San Diego, CA 98132 | 2020-08-24 | |
| 1407467392 | Tyler Drew Willis | 4665 Voltaire St, San Diego, CA 92107-1762 | 2020-08-13 | |
| 1174132575 | Sarah Greenstein | 11860 Carmel Creek Rd, San Diego, CA 92130-2474 | 2020-07-31 | |
| 1730798190 | Joelle G Johnson | 4904 Mansfield St, San Diego, CA 92116-1936 | 2020-07-30 | |
| Find all providers in SAN DIEGO | ||||
| City | SAN DIEGO |
| Zip Code | 92123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262141 | Shakera Guidry | Registered Nurse | 4234 Wildt Rd, San Antonio, TX 78222-1124 | 2020-10-15 |
| 1356583504 | Connie Jean Wildt | Dietitian, Registered | 615 S. New Ballas Rd, St. Louis, MO 63141-8221 | 2009-04-02 |
| 1659676567 | Sarah Jo Wildt | Social Worker | 102 E Springfield Ave, Suite 202, Union, MO 63084-1818 | 2011-01-24 |
| 1366611865 | Lori Lynn Wildt | Speech-Language Pathologist | 7135 Pendale Cir, N Tonawanda, NY 14120-9714 | 2008-02-28 |
| 1124038500 | Thomas L De Wildt | Social Worker · Clinical | 15525 Pomerado Rd, Suite A-7, Poway, CA 92064-2435 | 2006-08-09 |
| 1164052171 | Winter Fain Wildt-Bailey | Physical Therapist | 601 S Carr Rd Ste 301, Renton, WA 98055-5866 | 2020-01-17 |
| 1699324269 | Leigh N Wildt | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-09-06 |
| 1023599354 | Melinda Rodriguez Barrera | Licensed Vocational Nurse | 4406 Wildt Rd, San Antonio, TX 78222-1128 | 2018-08-24 |
| 1134219470 | Erin A Wildt | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3398 | 2006-10-16 |
| 1518406412 | Hillary Wildt | Psychologist · Clinical | 10522 S Cicero Ave, Suite 401, Oak Lawn, IL 60453-5200 | 2017-02-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.