Deborah A Resnikoff

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8441 Issued in CA

Practice address

21 Tamal Vista Blvd
#180
Corte Madera, CA 94925

Phone

(415) 925-0621

NPI assigned

Feb 15, 2021

Last updated

Feb 15, 2021By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1720671340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD",
            "address_2": "#180",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "94925",
            "telephone_number": "415-925-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD",
            "address_2": "#180",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "94925",
            "telephone_number": "415-925-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNIKOFF",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "8441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jedidiah Purses, AMFT
• Susan Theresa Quigley, MFT
• Josephine Rabb, MFT
• Hillary Green Redlin, MD
• Justine Francesca Reese, AMFT
• Sharon Reynolds-Kyle, D.C.
• Jean-Louis Richiardone, MS, L.AC.
• Jordan Rinker, M.D., M.P.H.
• Virginia Ann Ritchey, PH.D.
• Robbin Rockett

• Clinical Social Worker in Corte Madera, CA
• Providers in Corte Madera, 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 Feb 15, 2021; 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.