Individual provider Active NPI

Scott Vander Zee, LCSW

  • Clinical Social Worker
  • Oxnard, CA
National Provider Identifier
1720132137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW4292 Issued in CA
Practice address
500 E Esplanade Dr
1140
Oxnard, CA 93036-2110
Phone
(805) 988-1031
Fax
(805) 988-8441
NPI assigned
Jan 23, 2007
Sex
Male
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 LCSW4292 CA Primary

Addresses

Primary practice location

500 E Esplanade Dr
1140
Oxnard, CA 93036-2110

Mailing address

500 E Esplanade Dr
1140
Oxnard, CA 93036-2110
Phone (805) 988-1031

Other identifiers 2

IdentifierTypeStateIssuer
02019OtherCACOLLEGE HEALTH IPA
10976167OtherCACAQH PROVIDER ID#

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
6282CAMDMental Health Counselor
LCSW4292CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720132137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ESPLANADE DR",
            "address_2": "1140",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362110",
            "telephone_number": "805-988-1031",
            "fax_number": "805-988-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ESPLANADE DR",
            "address_2": "1140",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362110",
            "telephone_number": "805-988-1031",
            "fax_number": "805-988-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER ZEE",
        "first_name": "SCOTT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW4292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLEGE HEALTH IPA",
            "identifier": "02019",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID#",
            "identifier": "10976167",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, 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.