Active NPI
Jane Vanderwerf, LCSW
- Clinical Social Worker
- Walnut Creek, CA
National Provider Identifier
1972939676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW74267
- Practice address
- 1200 Mt Diablo Blvd Ste 406
Walnut Creek, CA 94596-4890 - Phone
- (925) 232-1552
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW74267 | CA | Primary |
Addresses
Primary practice location
1200 Mt Diablo Blvd Ste 406
Walnut Creek, CA 94596-4890
Mailing address
1200 Mt Diablo Blvd Ste 406
Walnut Creek, CA 94596-4890
Phone (925) 232-1552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW74267 | CA | MD | Clinical Social Worker |
| 74267 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702080000000",
"number": "1972939676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MT DIABLO BLVD STE 406",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964890",
"telephone_number": "925-232-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MT DIABLO BLVD STE 406",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964890",
"telephone_number": "925-232-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERWERF",
"first_name": "JANE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2023-12-09",
"certification_date": "2023-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW74267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.