Joan Derebery Landguth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS9104 Issued in CA

Practice address

140 Arbor Dr
San Diego, CA 92103-2007

Phone

(858) 361-9366

NPI assigned

Oct 26, 2006

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336224302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5568 LINDA ROSA AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377630",
            "telephone_number": "858-361-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032007",
            "telephone_number": "858-361-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGUTH",
        "first_name": "JOAN",
        "middle_name": "DEREBERY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Alejandra Landeros
• Charles F. Landers, M.D.
• Jacquelyn Domenique Landers
• Lee Dennis Landes, DDS
• Shannon Landgraf
• Raphael Luke Landicho
• Natasha Landing
• Rauna Landing
• Cynthia Casilang Landingin
• Ryan Landinguin

• 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.