What is Shane Wilson's NPI number?

Shane Wilson's National Provider Identifier (NPI) is 1336314392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Wilson's specialty?

Shane Wilson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Shane Wilson located?

Shane Wilson's practice location on file with NPPES is 5577 W Beechwood Ave, Fresno, CA 93722-2806.

What is Shane Wilson's phone number?

The practice phone number listed in the NPPES registry for Shane Wilson is (559) 355-3633.

Is Shane Wilson's NPI active?

Yes — Shane Wilson's NPI (1336314392) is active in the NPPES registry as of the last update on 2021-08-25.

IndividualActive

Shane Wilson, LCSW

NPI 1336314392 · Clinical Social Worker · Fresno, CA

Shane Wilson, LCSW is a Clinical Social Worker provider in Fresno, CA (NPI 1336314392).

Provider details

NPI number: 1336314392
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: Yes
License: LCSW101415 (CA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense LCSW101415 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5577 W Beechwood Ave

Fresno, CA 93722-2806

Phone: (559) 355-3633

Street-level locationGet directions

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Mailing address