Stephanie Wooden, MSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

117604 Issued in CA

Practice address

4350 Otay Mesa Rd
San Ysidro, CA 92173-1685

Phone

(619) 428-2352

NPI assigned

Sep 25, 2019

Last updated

Jan 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Wysocki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1346891934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 OTAY MESA RD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731685",
            "telephone_number": "619-428-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 OTAY MESA RD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731685",
            "telephone_number": "619-428-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODEN",
        "first_name": "STEPHANIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "117604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WYSOCKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Social Worker in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.