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

Mr. Shane Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1336314392

Mr. Shane Wilson, LCSW is a Clinical Social Worker in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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

5577 W Beechwood Ave
Fresno, CA 93722-2806
Phone: (559) 355-3633
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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 LCSW101415 (CA)

Record details

NPI number1336314392
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 29, 2008
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

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