Veterans Administration

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22073 Issued in CA

Legal business name

VETERANS ADMINISTRATION

Practice address

201 Walnut Ave
Vallejo, CA 94592-1107

Phone

(707) 562-8209

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Debra Nathanson, LCSW

Title

Mental Health Social Worker

Phone

(707) 562-8209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1356458830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949480304",
            "telephone_number": "707-562-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALNUT AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921107",
            "telephone_number": "707-562-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "NATHANSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "MENTAL HEALTH SOCIAL WORKER",
        "authorized_official_telephone_number": "707-562-8209",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rozzana Nava Verder-Aliga, LMFT
• Jose Luis Vergara
• Jocelynn N Verketis
• Shannon Nicole Verketis, RADT1 R1454820122
• Yvonne D. Vermillion, LMFT
• Kristy Vicari
• Danica Vicente
• Kimberly L Vick
• Kali Vickery, PA-S
• Brianna Lynn Vickroy, CMT

• Clinical Social Worker in Vallejo, CA
• Providers in Vallejo, 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 5, 2008; 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.