Graciela Raya Wangsnes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW109663 Issued in CA

Practice address

22625 Franklin St
Grand Terrace, CA 92313-5704

Phone

(909) 953-0392

NPI assigned

Jul 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1699115683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22625 FRANKLIN ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135704",
            "telephone_number": "909-953-0392",
            "fax_number": "909-824-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22625 FRANKLIN ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135704",
            "telephone_number": "909-953-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGSNES",
        "first_name": "GRACIELA",
        "middle_name": "RAYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW109663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Maria Valz-Brenta
• Hanna Vu
• Walgreen Co
• Krista Walker
• Sylvester Lee Wallace Jr.
• James Edward White, FNP
• Wholeness Empowerment Group Licensed Clinical Social Worker, Inc
• Priscilla Anne Willmott
• Dontel D. Wise
• Jonathan D Woolery, MD, MPH, MS

• Clinical Social Worker in Grand Terrace, CA
• Providers in Grand Terrace, 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 Sep 6, 2024; 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.