Jonathan Maurice Wicks, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117641 Issued in CA

Practice address

943 N Grand Ave
Covina, CA 91724-2046

Phone

(626) 665-6431

NPI assigned

Feb 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Ywca San Gabriel Valley

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1326501628
  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1952935116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARVARD AVE # 395",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242046",
            "telephone_number": "626-665-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "JONATHAN",
        "middle_name": "MAURICE",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "87395",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathanwicks@ywcasgv.org",
            "affiliation": "N",
            "address_1": "943 N Grand Ave",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917242046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Iesha White
• Jessica White, FNP-BC
• Tessa White
• Elana Whitehurst
• Alma F. Whitsitt, LMFT
• Josephine Widjaja
• Mary Ellen Wiesenfarth Simone
• Tammy Leryse Wigington
• Anjana Wilkerson, PT
• Akil Kendall Williams

• Clinical Social Worker in Covina, CA
• Providers in Covina, 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 1, 2025; 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.