JADE WILSON NPI 1104481506

NPI Information

  • NPI: 1104481506
  • Provider Name: JADE WILSON
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 906 E COMMONWEALTH AVE
    FULLERTON, CA
    ZIP 92831
  • Phone: (425) 691-6936

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NPI Details

Jade Wilson is a social worker in Fullerton, CA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Jade Wilson NPI is 1104481506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

906 E COMMONWEALTH AVE
FULLERTON, CA
ZIP 92831-518
Phone: (425) 691-6936

The enumeration date for this NPI number is 5/1/2019 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthCALIFORNIANo
2104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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