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

Jacob Burton Wickenheiser, LCSW

Individual provider Clinical Social Worker · NPI 1205958980

Jacob Burton Wickenheiser, LCSW is a Clinical Social Worker in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

1526 Waterwheel Dr
Sacramento, CA 95833-2390
Phone: (510) 703-2113
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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 26297 (CA)

Record details

NPI number1205958980
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

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