Individual provider Active NPI

Kirby Neil Wohlander, M.SW., L.C.S.W.

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1407279656
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 6835 Issued in CA
Practice address
PO Box 191073
San Diego, CA 92159-1073
Phone
(619) 333-3138
Fax
(619) 333-3813
NPI assigned
Jan 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 6835 CA Primary

Addresses

Primary practice location

PO Box 191073
San Diego, CA 92159-1073

Mailing address

PO Box 191073
San Diego, CA 92159-1073
Phone (619) 333-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730002507 CA Practitioner - Clinical Social Worker 7416173240 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 6835CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego CurrentSince May 3, 2014 Accepting new patients
Psycare Inc CurrentSince Nov 11, 2016 Accepting new patients
County of San Diego Current Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Aug 29, 2023 Accepting new patients
County of San Diego CurrentSince May 3, 2014 Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

15611 Pomerado Rd
Ste 535
Poway, CA 92064
Phone (858) 272-6100

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1407279656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191073",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921591073",
            "telephone_number": "619-333-3138",
            "fax_number": "619-333-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 191073",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921591073",
            "telephone_number": "619-333-3138",
            "fax_number": "619-333-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLANDER",
        "first_name": "KIRBY",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "M.SW., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 6835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.