Individual provider Active NPI

Willem Vanderpauwert, LCSW

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1033484225
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 21301 Issued in CA
Practice address
1264 S Waterman Ave
Suite # 27
San Bernardino, CA 92408-2811
Phone
(951) 204-5883
Fax
(909) 862-3399
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 21301 CA Primary

Addresses

Primary practice location

1264 S Waterman Ave
Suite # 27
San Bernardino, CA 92408-2811

Mailing address

1264 S Waterman Ave
Suite # 27
San Bernardino, CA 92408-2811
Phone (951) 204-5883

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS 21301CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1033484225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE",
            "address_2": "SUITE # 27",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082811",
            "telephone_number": "951-204-5883",
            "fax_number": "909-862-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE",
            "address_2": "SUITE # 27",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082811",
            "telephone_number": "951-204-5883",
            "fax_number": "909-862-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPAUWERT",
        "first_name": "WILLEM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.