Wongaletu Vanda II, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14139 Issued in CA

Practice address

8810 Rio San Diego Dr
San Diego, CA 92108-1622

Phone

(619) 400-5166

Fax

(619) 400-5159

NPI assigned

Jul 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245251180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 PASEO ALDABRA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292105",
            "telephone_number": "858-484-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 RIO SAN DIEGO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081622",
            "telephone_number": "619-400-5166",
            "fax_number": "619-400-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDA",
        "first_name": "WONGALETU",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Peter Vance, MD
• Raymond M Vance, M.D.
• Tiffany Anne Vance, PTA
• Willie Jean Vance, RN
• Elise J Vanda, LCSW
• Aaron Thomas Vandarwarka, RADT
• Karen Leslie Vande Vegte, P.T.
• Russell Allen Vande Vegte, PT
• Jeffrey Vandemark, PHARMD
• Kelsey Jordan Vanden Heuvel, MS, RDN

• 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 Jul 8, 2007; 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.