Active NPI
Sandra Lynn Herrera, M.S.W., L.C.S.W.
- Clinical Social Worker
- San Luis Obispo, CA
National Provider Identifier
1265444236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 22966
- Practice address
- 11573 Los Osos Valley Rd
Suite H
San Luis Obispo, CA 93405-6473 - Phone
- (805) 704-0425
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 22966 | CA | Primary |
Addresses
Primary practice location
11573 Los Osos Valley Rd
Suite H
San Luis Obispo, CA 93405-6473
Mailing address
14000 Morro Rd
Atascadero, CA 93422-1610
Phone (805) 704-0425
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 22966 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1265444236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14000 MORRO RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934221610",
"telephone_number": "805-704-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11573 LOS OSOS VALLEY RD",
"address_2": "SUITE H",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934056473",
"telephone_number": "805-704-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 22966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.