Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Malia Fendy Guillaume-Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1417686817

Mrs. Malia Fendy Guillaume-Wilson, LCSW is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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

3443 Camino Del Rio S Ste 325
San Diego, CA 92108-3915
Phone: (305) 776-2167
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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 108147 (CA)

Record details

NPI number1417686817
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateMay 11, 2022

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