Active NPI
Paola Alessandra Wilckens-Gjata, LCSW
- Clinical Social Worker
- Carlsbad, CA
National Provider Identifier
1902899354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 21144
- Practice address
- 2541 State St
Suite 115
Carlsbad, CA 92008-1678 - Phone
- (760) 535-1847
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 21144 | CA | Primary |
Addresses
Primary practice location
2541 State St
Suite 115
Carlsbad, CA 92008-1678
Mailing address
2541 State St
Suite 115
Carlsbad, CA 92008-1678
Phone (760) 535-1847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW211440 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 21144 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902899354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2541 STATE ST",
"address_2": "SUITE 115",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081678",
"telephone_number": "760-535-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2541 STATE ST",
"address_2": "SUITE 115",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081678",
"telephone_number": "760-535-1847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCKENS-GJATA",
"first_name": "PAOLA",
"middle_name": "ALESSANDRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 21144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CSW211440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.