VETERANS ADMINISTRATION NPI 1356458830

NPI Information

  • NPI: 1356458830
  • Provider Name: VETERANS ADMINISTRATION
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 201 WALNUT AVE
    VALLEJO, CA
    ZIP 94592
  • Phone: (707) 562-8209

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NPI Details

VETERANS ADMINISTRATION is a clinical social worker in Vallejo, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. VETERANS ADMINISTRATION NPI is 1356458830. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 WALNUT AVE
VALLEJO, CA
ZIP 94592-107
Phone: (707) 562-8209

The provider's authorized official is Debra Nathanson .
The authorized official title is Mental Health Social Worker and has the following contact phone number (707) 562-8209.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLCS 22073CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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