Individual provider Active NPI

Sandra Delia Nooe, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1649205097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS17452 Issued in CA
Practice address
16486 Bernardo Center Dr
Suite C-150
San Diego, CA 92128-2518
Phone
(858) 335-1072
Fax
(858) 674-4052
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS17452 CA Primary

Addresses

Primary practice location

16486 Bernardo Center Dr
Suite C-150
San Diego, CA 92128-2518

Mailing address

17684 Azucar Way
San Diego, CA 92127-1251
Phone (858) 335-1072

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS17452CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649205097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17684 AZUCAR WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271251",
            "telephone_number": "858-335-1072",
            "fax_number": "858-674-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16486 BERNARDO CENTER DR",
            "address_2": "SUITE C-150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282518",
            "telephone_number": "858-335-1072",
            "fax_number": "858-674-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOE",
        "first_name": "SANDRA",
        "middle_name": "DELIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • 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.