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

Jaylee Wachholder, LCSW

Individual provider Social Worker · NPI 1255877262

Jaylee Wachholder, LCSW is a Clinical Social Worker in Caldwell, Idaho. Qualified in 2019, 7 years ago. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2017
Specialties on file
2
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

15223 Billowy Way
Caldwell, ID 83607-8318
Phone: (760) 310-1063
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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
Social Worker Taxonomy 104100000X · Licence 89639 (CA)

Record details

NPI number1255877262
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 13, 2017
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address41680 Ivy St Ste D, Murrieta, CA 92562-9435

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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