Stephanie L. Sanders, Licensed Clinical Social Worker, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STEPHANIE L. SANDERS, LICENSED CLINICAL SOCIAL WORKER, INC.

Practice address

6480 Weathers PL Ste 102
San Diego, CA 92121-3911

Phone

(858) 956-5545

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie L Sanders, LCSW

Title

Owner

Phone

(619) 363-5228

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christy C Bantugan-Bohan, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1225154222
  NPD (past)
• Thuy-Phuong DO, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1649529819
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1215409057",
    "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Main St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926147328",
            "country_code": "US",
            "telephone_number": "949-350-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHANIE L. SANDERS, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-363-5228",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Aaron Stenzler, D.C.
• Audrey Fallon Stephan, MD
• Stephanie a Massey
• Stephanie Knatz Peck PHD Psychological Services Inc
• Stephanie Knatz Peck, PHD Psychological Services Inc
• Stephanie Ma, MD Inc.
• Stephanie W Yen MD - a Medical Corporation
• Nora L. Stephany, PA
• Theresa M Stephany, RN
• Stephen a. Center, MD Inc.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Mar 7, 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.

Verify at the official NPI Registry.