Lynn Dora Waldman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS16999 Issued in CA

Practice address

3435 Camino del Rio South
Suite 217
San Diego, CA 92108-3902

Phone

(619) 865-3203

Fax

(619) 294-9424

NPI assigned

May 11, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1306164645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PACIFIC HWY",
            "address_2": "SUITE 605",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012580",
            "telephone_number": "619-865-3203",
            "fax_number": "619-294-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO SOUTH",
            "address_2": "SUITE 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083902",
            "telephone_number": "619-865-3203",
            "fax_number": "619-294-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "LYNN",
        "middle_name": "DORA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Joseph Waldenmaier, MD, MPHTM
• Elizabeth J Waldheim, PHD
• Elizabeth Anne Waldman, D.O
• Haley Elizabeth Waldman, FNP-BC
• Justin Waldman, BCBA
• Rory Waldman
• Arianna Waldo
• Mary Elizabeth Waldo, PN
• Olivia Waldorf, AMFT
• Autumn Sno Waldron

• 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 Aug 2, 2011; 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.