Wayne Wilson Licensed Clinical Social Worker Inc.
NPI 1457148405ActiveOrganization· Social Worker, Clinical· Costa Mesa, CA
Social Worker, Clinical in Costa Mesa, California, registered in NPPES in April 2025. The authorized official on file is Katelyn Dungo, Human Resources.
Overview
| NPI | 1457148405 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2025 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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