Social Worker (Clinical)

Address: 4550 Kearny Villa Rd Ste 114, San Diego, CA 92123-1574

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).

Provider Overview

Nation Provider ID (NPI) 1801485974
Entity Type Individual
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

Office Location

Street Address 4550 KEARNY VILLA RD STE 114
State CA
Zip Code 92123-1574

Providers in the same zip code

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

Providers in the same zip code prefix

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 Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

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


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Zip Code 92123

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Dataset Information

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.