Silvana Pola De Jonghe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11544 Issued in CA

Practice address

705 4TH St
Suite 200
San Rafael, CA 94901-3233

Phone

(707) 824-9032

NPI assigned

Jul 11, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1700040409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 4TH ST",
            "address_2": "SUITE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013233",
            "telephone_number": "707-824-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 4TH ST",
            "address_2": "SUITE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013233",
            "telephone_number": "707-824-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JONGHE",
        "first_name": "SILVANA",
        "middle_name": "POLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "11544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Dayan
• Deborah Dayhoff, MD
• Dba Nancy Freitas Lambert PSYD
• Gabrielle Salgado De Alba, MA, BCBA
• Erica De Guzman, M.S. CCC-SLP
• Martha De la Pena, DMD MPH
• Smadar De Lange
• Delfina Maria De Las Heras
• Anne C De Lovinfosse, PH.D
• Edgar Carl De Van IV, MFT INTERN/TRAINEE

• 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 18, 2008; 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.