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Active NPI 1124038500 Individual Practitioner Male Practitioner

Thomas L De Wildt , LCSW

Social Worker - Clinical • Poway, CA

Professional Overview & Biography Verified Profile Summary

Thomas De Wildt, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Poway, CA. Practice services are available at 15525 POMERADO RD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15525 Pomerado Rd
Suite A-7

Poway, CA 920642435

Telephone 8582791223
Fax 8586738519
Associated Practice Facility / Clinic
🏢 Poway Surgery Center Facility NPI 1194770727

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Poway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.8 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Poway, CA (37073 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
110 11 $150.00 $63.12

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License CA LCS 9390

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Thomas Lynch

Counselor - Mental Health

NPI 1003082686
Dr. Alison Trexler , MD

Psychiatry & Neurology - Psychiatry

NPI 1003104704

Doctor of Medicine (M.D.)

Cecilia Iacoviello , FNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003140336

Family Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Jose Pena , PhD

Psychologist - Clinical

NPI 1003831082

Doctor of Philosophy (Ph.D.)

Dr. David Debus , PhD, LP

Psychologist - Clinical

NPI 1013024744

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Heather St Jean-Garcia , MA

Marriage & Family Therapist

NPI 1013239730

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 15525 POMERADO RD, SUITE A-7, POWAY, CA 920642435 (Tel: 8582791223)

📍
Updated Business Mailing Address July 08, 2007

Registered at 15525 POMERADO RD, SUITE A-7, POWAY, CA 920642435 (Tel: 8582791223)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS DE WILDT, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #LCS 9390 in CA)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124038500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

15525 Pomerado Rd, Suite A-7

Poway, CA 920642435

Phone: 8582791223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.