Rebecca Anne-Au Sanford

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

91981 Issued in CA

Practice address

2600 Mission St Ste 201
San Marino, CA 91108-1676

Phone

(626) 623-7478

Fax

(626) 737-6034

NPI assigned

Jun 26, 2020

Last updated

Jul 7, 2020By the provider in NPPES

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 identifiers 1

Other names 1

• Rebecca Anne-Au Smith Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Soultenders Psychological Services, Inc.

  • Clinical Social Worker
  • Arcadia, CA
  • NPI 1235810722
  NPD
• Soultenders, Inc.

  • Clinical Psychologist
  • Arcadia, CA
  • NPI 1164617007
  NPD
• Wounded Warrior Homes, Inc

  • Mental Health Counselor
  • San Marcos, CA
  • NPI 1609747450

  Clinical

  NPD

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1073130886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MISSION ST STE 201",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081676",
            "telephone_number": "626-623-7478",
            "fax_number": "626-737-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MISSION ST STE 201",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081676",
            "telephone_number": "626-623-7478",
            "fax_number": "626-737-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "REBECCA",
        "middle_name": "ANNE-AU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "91981",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Soultenders.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2600 Mission St Ste 201",
            "city": "San Marino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911081676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SMITH",
            "middle_name": "ANNE-AU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• San Marino Home Health Inc
• San Marino Pediatric Associates
• San Marino Psychiatric Associates, Inc.
• San Marino Psychiatric Hospitalists, Inc
• San Marino Unified School District
• David E Sawcer, MD, PHD
• Juliana Kristin Schilling
• Danielle Schlazer, NP
• Sepehr Khonsari - a Medical Corp
• Thaddeus Peter Shafer

• Clinical Social Worker in San Marino, CA
• Providers in San Marino, 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 Jul 7, 2020; 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.