Wesley Dean Thiessen, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS11767 Issued in CA

Practice address

624 Woodworth Ave
Clovis, CA 93612-1847

Phone

(559) 297-6060

Fax

(559) 297-6061

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Star Counseling a Licensed Clinical Social Worker Corporation

  dba North Star Counseling

  • Clinical Social Worker
  • Clovis, CA
  • NPI 1730105479
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740217223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 WOODWORTH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121847",
            "telephone_number": "559-297-6060",
            "fax_number": "559-297-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 WOODWORTH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121847",
            "telephone_number": "559-297-6060",
            "fax_number": "559-297-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIESSEN",
        "first_name": "WESLEY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mao Thao
• Sylvie Eelee C Thao, LVN
• The Bashful Elephant
• Therapeutic Residential Services, Inc (Sierra Villa Assisted Living)
• Jaspreet Kaur Thiara, FNP
• Ravneet Kaur Thind, DO
• Thomas J. O'Laughlin, MD, Inc.
• Terri Lee Thomas, LMFT
• Darrell Anthony Thompson II
• Jamie Lynn Thompson, PHARM D.

• Clinical Social Worker in Clovis, CA
• Providers in Clovis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.