Active NPI
Stephanie L Sanders, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1205207891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 85971
- Practice address
- 6480 Weathers PL Ste 102
San Diego, CA 92121-3911 - Phone
- (858) 956-5545
- Fax
- (858) 956-5554
- NPI assigned
- Oct 8, 2015
- Last updated
- Feb 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 85971 | CA | Primary |
Addresses
Primary practice location
6480 Weathers PL Ste 102
San Diego, CA 92121-3911
Mailing address
PO Box 759
Poway, CA 92074-0759
Other practice location 1
216 W Los Angeles Dr
Vista, CA 92083-3101
Phone (760) 630-4035
Other practice location 2
1900 Main St Ste 700
Irvine, CA 92614-7328
Phone (619) 363-5228
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Haven Youth & Family Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- San Diego, CA
- NPI 1215409057
-
- Case Management Agency
- Vista, CA
- NPI 1336201490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549065600000",
"number": "1205207891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 759",
"city": "POWAY",
"state": "CA",
"postal_code": "920740759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 WEATHERS PL STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213911",
"telephone_number": "858-956-5545",
"fax_number": "858-956-5554"
}
],
"practiceLocations": [
{
"address_1": "216 W Los Angeles Dr",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "920833101",
"country_code": "US",
"telephone_number": "760-630-4035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Main St Ste 700",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926147328",
"country_code": "US",
"telephone_number": "619-363-5228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "STEPHANIE",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2019-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "85971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.