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

Wayne R. Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1841737673

Wayne R. Wilson, LCSW is a Clinical Social Worker in Altadena, California. Practices as a sole proprietor. Licensed in California.

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

70 E Terrace Dr
Altadena, CA 91101
Phone: (707) 797-0064
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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 LCSW91441 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW75482 (CA)

Record details

NPI number1841737673
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 31, 2017
Last updated in NPPESAugust 8, 2024
Certification dateApril 13, 2023
Mailing address736 Bridge St Unit 11, Vernonia, OR 97064-1285

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