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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760138226

Kalkidan Wilson, LICSW is a Clinical Social Worker in Sedro Woolley, Washington. Qualified in 2023, 3 years ago. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2022
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1960 Thompson Dr
Sedro Woolley, WA 98284-5007
Phone: (360) 856-3186
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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 SWI.LW.70066580 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO61265316 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 61265316 (WA)

Record details

NPI number1760138226
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 23, 2022
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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