Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samantha Dewitt Wilson, PSYD, LCSW

Individual provider Psychologist · NPI 1881823045

Dr. Samantha Dewitt Wilson, PSYD, LCSW is a Clinical Psychologist in San Diego, California. Qualified in 2022, 4 years ago. Practices with Adr Wellness, a Professional Psychology Corporation, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2009
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
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

10085 Carroll Canyon Rd Ste 200H
San Diego, CA 92131-1100
Phone: (858) 208-3463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 785 Grand Ave Ste 212, Carlsbad, CA 92008-2371 — (760) 453-7175

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY34430 (CA)
Psychologist Taxonomy 103T00000X · Licence 34430 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 76389 (CA)

Record details

NPI number1881823045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LCSW
Sole proprietorYes
NPI enumeratedJuly 9, 2009
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Adr Wellness, A Professional Psychology Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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