Debra Ann Vandergriend

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15476 Issued in CA

Practice address

914 Mission Ave FL 3
San Rafael, CA 94901-6106

Phone

(415) 457-6964

NPI assigned

Jun 22, 2007

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

Other names 1

• Debra Ann Vandergriend Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467658757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 5TH ST W APT 5",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766832",
            "telephone_number": "707-334-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 MISSION AVE FL 3",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949016106",
            "telephone_number": "415-457-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIEND",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "15476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "VANDERGRIEND",
            "middle_name": "ANN",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexandra N Van Dyke
• Bethany Laura Van Dyke, M.F.T.
• Marta Van Leuven, M.F.T.
• Lesley Ann Van Voorhees, M.S.W.
• Christine M Vandenbroucke-Bouckaert, PH.D.IN CLINICAL PSY
• Jeffrey Neil Vanderheym, D.C.
• Katelyn Vandever, ASW #120967
• Leslie Vandyke
• Natalie Marie Vano
• Heather Vantress, LIC.AC.

• Clinical Social Worker in San Rafael, CA
• Providers in San Rafael, 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 Jul 8, 2007; 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.