Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILTON JAN WIELENGA, LCSW
ActiveMR. WILTON JAN WIELENGA, LCSW is a Clinical Social Worker healthcare provider located in STOCKTON, California. NPI 1528126703 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · STOCKTON, CA
Registration Details
- NPI Number
- 1528126703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.507696047995 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LCS 5681 (CA)
Practice Information
- Address
-
1755 W HAMMER LANESUITE 1STOCKTON, CA, 952092900Browse CA providers · Browse ZIP 95209
- Phone
- 2094779180
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MANOJ VIRENDRA PERERA | MSW, LCSW | 1568470946 |
| MS. CAROLYN J POMETTA | LCSW | 1043316326 |
| MS. SUZANNE LORENZ | LCSW | 1174616445 |
| MR. ALEJO CASTILLON II | LCSW | 1386704286 |
| MRS. ALICE ELAINE MCNALLY | LCSW | 1245391713 |
| MRS. ERIN MELINDA SHURTLEFF | LCSW | 1922161868 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.