Individual provider Active NPI

Blanca Lizette Iniguez Valdivia, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1447759683
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
139444 Issued in CA
Practice address
2515 Camino del Rio S Ste 240
San Diego, CA 92108-3715
Phone
(619) 549-0329
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 139444 CA Primary
Behavior Technician 106S00000X
Social Worker 104100000X 119060 CA

Addresses

Primary practice location

2515 Camino del Rio S Ste 240
San Diego, CA 92108-3715

Mailing address

2515 Camino del Rio S Ste 240
San Diego, CA 92108-3715

Other names 1

  • Blanca Lizette Rebandel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119060CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Through Life Counseling, Inc. Clinical CurrentSince Dec 22, 2025 Accepting new patients

Locations

855 Bowsprit Rd
Chula Vista, CA 91914
Phone 61954903290

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1447759683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083715",
            "telephone_number": "619-549-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INIGUEZ VALDIVIA",
        "first_name": "BLANCA",
        "middle_name": "LIZETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "139444",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "119060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCA",
            "last_name": "REBANDEL",
            "middle_name": "LIZETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.