Individual provider Active NPI

Vanessa Engelbert, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1306183983
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107845 Issued in CA
Practice address
4445 East Gate Mall Suite 200
San Diego, CA 92121
Phone
(909) 317-6064
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107845 CA Primary

Addresses

Primary practice location

4445 East Gate Mall Suite 200
San Diego, CA 92121

Mailing address

112 Harvard Ave # 451
Claremont, CA 91711-4716
Phone (323) 435-6758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909002050 CA Practitioner - Clinical Social Worker 5294275954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carative Psychiatry Nursing CorporationGroup PAC ID 8628510310, 14 clinicians

Practice addresses (Care Compare)

739 Bryant St
San Francisco, CA 94107-1014
Phone (843) 474-5578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107845CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Jul 26, 2024 Accepting new patients
Carative Psychiatry Nursing Corporation CurrentSince Sep 1, 2025 Accepting new patients
Carative Psychiatry PLLC PastSince Sep 1, 2025 Accepting new patients
Step Up on Second Street Inc. PastSince Nov 1, 2019 Accepting new patients

Locations

739 Bryant St
San Francisco, CA 94107

2309 Noriega St
San Francisco, CA 94122
Phone (415) 305-8848

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1306183983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARVARD AVE # 451",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114716",
            "telephone_number": "323-435-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 EAST GATE MALL SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "909-317-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBERT",
        "first_name": "VANESSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.