Clarissa Grace Wisniewski, M.S. CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15673 Issued in CA

Practice address

8840 N Magnolia Ave Ste 220
Santee, CA 92071-4516

Phone

(619) 749-7059

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Clarissa Grace Dingus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Kara Dodds and Associates, Inc

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1114000205
  NPD (past)
• Kara Dodds and Associates, Inc

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1518056001
  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1912570300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 NEGLEY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311441",
            "telephone_number": "314-630-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 N MAGNOLIA AVE STE 220",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714516",
            "telephone_number": "619-749-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "CLARISSA",
        "middle_name": "GRACE",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "DINGUS",
            "middle_name": "GRACE",
            "credential": "M.S. CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Wilkes, D.C.
• Madeline Williams
• Zoe I Williams
• Lawrence Joe Wilson, DC
• Wendy L Wilton, M.A., CCC-SLP
• Dana Wolf, OTR/L
• Jacquilyn E Wollin
• Amy Wolman, LVN
• Kin Chiu Wong, M.D.
• Joann Wornham, CCAPP

• Speech-Language Pathologist in Santee, CA
• Providers in Santee, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.