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

Wayne Wilson Licensed Clinical Social Worker Inc

Organization Clinical Social Worker · NPI 1457148405

Wayne Wilson Licensed Clinical Social Worker Inc provides Clinical Social Worker services in Costa Mesa, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 Town Center Dr
Costa Mesa, CA 92626
Phone: (949) 949-0009
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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

Record details

NPI number1457148405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katelyn Dungo — Human Resources · (208) 869-8386
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 15, 2025
Mailing address605 Town Center Dr., Costa Mesa, CA 92626

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