Sarah Eugenia Watermulder

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76196 Issued in CA

Practice address

123 S San Mateo Dr
San Mateo, CA 94401

Phone

(650) 343-4200

NPI assigned

Feb 7, 2012

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

Credentials

Master of Arts

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1376815324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-343-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22211 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945412712",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "fax_number": "510-782-4678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22211 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945412712",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "fax_number": "510-782-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMULDER",
        "first_name": "SARAH",
        "middle_name": "EUGENIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Warzecha, OTR/L
• Christian Rachel Washburn
• Chyvonne Washington
• Lygeia Marie Washington
• Mark Sapaen Watan, L.AC.
• Sandra Watkins, M.A., BCBA
• Susan Kay Watkins, PSYD MFT
• Frederick Sommervil Watson, M.D.
• Gianna Leanne Watson
• Ann Watters, PHD

• Clinical Social Worker in San Mateo, CA
• Providers in San Mateo, 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 Dec 19, 2019; 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.