Stella Grace Sanderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121920 Issued in CA

Practice address

9655 Granite Ridge Dr Ste 200
San Diego, CA 92123-2676

Phone

(619) 887-4474

NPI assigned

Jun 29, 2021

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

State licenses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1760052948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8690 AERO DR. STE 115",
            "address_2": "#1010",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231743",
            "telephone_number": "619-887-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 GRANITE RIDGE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232676",
            "telephone_number": "619-887-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10620 Treena St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311140",
            "country_code": "US",
            "telephone_number": "619-887-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "STELLA",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mychael Sanders
• Roger J Sanders, PA
• Sara Sanders
• Stephanie L Sanders, LCSW
• Sterling Sanders
• Armin Sandhu
• Navparkash Sandhu, M.D.
• Sandhya Ramanujam DDS Inc
• Jaden Sandi
• Colleen L Sandie, CRNA, MS

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Oct 18, 2025; 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.