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Mrs. Kelly Ann Wilson
Clinical Social Worker in Pomona, California
NPI 1528619160

Kelly Ann Wilson is a Clinical Social Worker based in Pomona, CA and is specialized in Clinical. Kelly Ann Wilson practices in Pomona, CA. The NPI Number for Kelly Ann Wilson is 1528619160 and holds a License No. 104732 (California).

The current practice location address for Kelly Ann Wilson is 831 E Arrow Hwy, Pomona, CA and can be reached out via phone at 909-279-6516.

Location: 831 E Arrow Hwy, Pomona, CA, 91767-2535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528619160
Provider Name
Kelly Ann Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
831 E Arrow Hwy, Pomona, CA, 91767-2535
Phone Number
909-279-6516
Fax Number
Provider Enumeration Date
09/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
831 E Arrow Hwy
City
Pomona
State
California
Zip
91767-2535
Phone Number
909-279-6516
Fax Number
person
Provider Business Mailing Address Details
Address
831 E Arrow Hwy
City
Pomona
State
California
Zip
91767-2535
Phone Number
909-279-6516
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
104732 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
(California)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
104732 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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