Individual provider Active NPI

Deandra Lyn Galarza

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1437613379
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9612-M Issued in NU
Practice address
3465 N Lugo Ave
San Bernardino, CA 92404-2253
Phone
(917) 816-3040
NPI assigned
Jan 24, 2019
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 9612-M NU Primary

Addresses

Primary practice location

3465 N Lugo Ave
San Bernardino, CA 92404-2253

Mailing address

3465 N Lugo Ave
San Bernardino, CA 92404-2253
Phone (917) 816-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20251013000912 NV Practitioner - Clinical Social Worker 6608363973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

880 Seven Hills Dr
Suite 200
Henderson, NV 89052-4373
Phone (702) 209-2199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay L Wray PSYD Comprehensive Psychological Services PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

880 Seven Hills Dr
Ste 200
Henderson, NV 89052
Phone (702) 209-2199

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1437613379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 N LUGO AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924042253",
            "telephone_number": "917-816-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 N LUGO AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924042253",
            "telephone_number": "917-816-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALARZA",
        "first_name": "DEANDRA",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "9612-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.