Stephanie Glazer Wieland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121832 Issued in CA

Practice address

1520 N Raymond Ave
Pasadena, CA 91103-1819

Phone

(626) 396-5920

NPI assigned

Sep 26, 2018

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pasadena Unified School District

  dba PUSD Mental Health Services

  • Local Education Agency (LEA)
  • Pasadena, CA
  • NPI 1093839607
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1811472764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N RAYMOND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031819",
            "telephone_number": "626-396-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N RAYMOND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031819",
            "telephone_number": "626-396-5920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 E Washington Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911071449",
            "country_code": "US",
            "telephone_number": "626-296-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "STEPHANIE",
        "middle_name": "GLAZER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "95556",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Mind Wellness Services
• Damiete Braidbery Whyte
• Rogelio Leonardo Whyte, MD
• Sophia Whyte
• Katherine RK Wiebe, PSYD, PHD, MDIV
• Mirie Anne Wiesenberg
• Beverly Wike, O.T.
• Dasani Dene Wilburn
• Cherell Wilcox
• Daniel Paul Wilcox, GRAD STUDENT TRAINEE

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, 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 Apr 12, 2024; 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.