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

Mr. Thomas L De Wildt, LCSW

Individual provider Clinical Social Worker · NPI 1124038500

Mr. Thomas L De Wildt, LCSW is a Clinical Social Worker in Poway, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15525 Pomerado Rd Ste A-7
Poway, CA 92064-2435
Phone: (858) 279-1223
Fax: (858) 673-8519
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 9390 (CA)

Record details

NPI number1124038500
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Poway