Wayne Wilson Licensed Clinical Social Worker Inc.
NPI 1457148405 · Clinical Social Worker · Costa Mesa, CA
Wayne Wilson Licensed Clinical Social Worker Inc. is a Clinical Social Worker organization in Costa Mesa, CA (NPI 1457148405).
Provider details
- NPI number
- 1457148405
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Katelyn Dungo, Human Resources(208) 869-8386
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-04-23
- Last updated
- 2025-04-23
- Certified
- 2025-04-15
Frequently asked questions
- What is Wayne Wilson Licensed Clinical Social Worker Inc.'s NPI number?
- Wayne Wilson Licensed Clinical Social Worker Inc.'s National Provider Identifier (NPI) is 1457148405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wayne Wilson Licensed Clinical Social Worker Inc.?
- Wayne Wilson Licensed Clinical Social Worker Inc. is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Wayne Wilson Licensed Clinical Social Worker Inc. located?
- Wayne Wilson Licensed Clinical Social Worker Inc.'s practice location on file with NPPES is 605 Town Center Dr., Costa Mesa, CA 92626.
- What is Wayne Wilson Licensed Clinical Social Worker Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wayne Wilson Licensed Clinical Social Worker Inc. is (949) 949-0009.
- Who is the authorized official for Wayne Wilson Licensed Clinical Social Worker Inc.?
- The authorized official listed on Wayne Wilson Licensed Clinical Social Worker Inc.'s NPPES record is Katelyn Dungo, Human Resources. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wayne Wilson Licensed Clinical Social Worker Inc.'s NPI active?
- Yes — Wayne Wilson Licensed Clinical Social Worker Inc.'s NPI (1457148405) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.