Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Devi Sophia Wise, LCSW

Individual provider Clinical Social Worker · NPI 1457880320

Devi Sophia Wise, LCSW is a Clinical Social Worker in Moreno Valley, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12625 Frederick St Ste I5-133
Moreno Valley, CA 92553-5216
Phone: (909) 225-6920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW101454 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW81804 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1457880320
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 5, 2017
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address12625 Frederick St Ste I5-133, Moreno Valley, CA 92553-5216

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