Active NPI
Veronica Philipsborn
- Social Worker
- San Diego, CA
National Provider Identifier
1992218572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 80060
- Practice address
- 3427 4TH Ave
San Diego, CA 92103-4910 - Phone
- (619) 525-9903
- NPI assigned
- Nov 6, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 80060 | CA | Primary |
Addresses
Primary practice location
3427 4TH Ave
San Diego, CA 92103-4910
Mailing address
3255 Wing St
San Diego, CA 92110-4638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2648050 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80060 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1992218572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 WING ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034910",
"telephone_number": "619-525-9903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPSBORN",
"first_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "80060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95-2648050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.