Ida Vandaei Licensed Clinical Social Worker Corporation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IDA VANDAEI LICENSED CLINICAL SOCIAL WORKER CORPORATION

Doing business as

Ida Vandaei LCSW

Practice address

4 Embarcadero Ctr Ste 1400
San Francisco, CA 94111-4164

Phone

(818) 646-6683

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Ida Vandaei, LCSW

Title

Provider

Phone

(818) 646-6683

Specialties & licenses 1

Addresses

Other names 1

• Ida Vandaei LCSW Doing business as

Locations

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699660800000",
    "number": "1417429242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EMBARCADERO CTR STE 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114164",
            "telephone_number": "818-646-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EMBARCADERO CTR STE 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114164",
            "telephone_number": "818-646-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA VANDAEI LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A",
        "authorized_official_last_name": "VANDAEI",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "818-646-6683",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ida Vandaei LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ida Vandaei LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Ichimoto
• Nancy Yoshiy Ichiuji, PHARM.D.
• Theresa Ick
• Cindy Fae Icke, L.AC., O.M.D.
• Ida Gorshteyn, DDS, Ms, Inc.
• Aimebenomon Omoye Idahosa, MD
• Kijafa Idalliah
• Elizabeth Ayaka Ide, PHARMD
• Namie Ideura
• Geleeza Joy Pintor Idolyantes

• Mental Health Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.