Individual provider Active NPI

Vonda Ann Sigstad, LCSW

  • Clinical Social Worker
  • Menifee, CA
National Provider Identifier
1497004097
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 25224 Issued in CA
Practice address
27851 Bradley Rd
Ste 101
Menifee, CA 92586-2286
Phone
(951) 473-0307
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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 LCS 25224 CA Primary

Addresses

Primary practice location

27851 Bradley Rd
Ste 101
Menifee, CA 92586-2286

Mailing address

P.O. Box 1219
Murreita, CA 92564
Phone (951) 834-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130214000444 CA Practitioner - Clinical Social Worker 5698929982 Practice locations: Menifee, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27851 Bradley Rd
Suite 101
Menifee, CA 92586-2213
Phone (951) 473-0307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25224CAMDSocial Worker
LCS 25224CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1497004097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1219",
            "city": "MURREITA",
            "state": "CA",
            "postal_code": "92564",
            "telephone_number": "951-834-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27851 BRADLEY RD",
            "address_2": "STE 101",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862286",
            "telephone_number": "951-473-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGSTAD",
        "first_name": "VONDA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.