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Active NPI 1205338639 Individual Practitioner Female Practitioner

Wanda Pathomrit , LCSW

Social Worker - Clinical • Van Nuys, CA

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Wanda Pathomrit, LCSW is a registered Social Worker - Clinical practitioner in Van Nuys, CA. With approximately 11 years of clinical practice since completing medical education in 2015, Wanda Pathomrit provides healthcare services at the registered practice location at 15350 SHERMAN WAY STE 200.

Wanda Pathomrit is affiliated with Special Service For Groups Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

15350 Sherman Way Ste 200

Van Nuys, CA 914064458

Telephone 8182671100
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Van Nuys, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -1.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
171 Specialists

Practicing in Van Nuys, CA (37073 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathomrit (11 Years) 11 Yrs
Van Nuys Specialty Average (12.5 Years) 12.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-02-28
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License CA LCSW113153

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License CA ACSW106131

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License CA 69847

Definition to come...

Rehabilitation Practitioner

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Hospital & Practice Group Affiliations

Special Service For Groups Inc

15350 Sherman Way, Van Nuys, CA 914064458

Phone: 8183671100

Special Service For Groups Inc

520 S Lafayette Park Pl, Los Angeles, CA 900575400

Phone: 2132522100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Hyun Kyung Sim , LMFT

Marriage & Family Therapist

NPI 1023521408

Licensed Marriage and Family Therapist

Steve La , LMFT

Marriage & Family Therapist

NPI 1043828320

Licensed Marriage and Family Therapist

My Hoang , CASE MANAGER

Day Training/Habilitation Specialist

NPI 1083217699

CASEMANAGER

NPI 1093767204

LICENSEPSYCHOLOGIS

Stella Yun , LICENSED MFT

Marriage & Family Therapist

NPI 1114380458

LICENSEDMFT

Andrew Chang , MFT-TRAINEE

Student in an Organized Health Care Education/Training Program

NPI 1124697438

MFTTRAINEE

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
👤
Provider Name / Credentials Updated February 28, 2023

Recorded as WANDA PATHOMRIT, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Counselor (License #ACSW106131 in CA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Rehabilitation Practitioner

👤
Provider Name / Credentials Updated November 22, 2019

Recorded as WANDA PATHOMRIT, ACSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2019

Counselor (License #69847 in CA)

NPI Profile Active March 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2018

Registered at 15350 SHERMAN WAY STE 200, VAN NUYS, CA 914064458 (Tel: 8182671100)

📍
Updated Business Mailing Address March 07, 2018

Registered at 15350 SHERMAN WAY STE 200, VAN NUYS, CA 914064458

👤
Provider Name / Credentials Updated March 07, 2018

Recorded as WANDA PATHOMRIT, ASW - REGISTERED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2018

Rehabilitation Practitioner

🟢
Initial NPI Registration & Enumeration March 01, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205338639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2018
Last Update: February 28, 2023
Sole Proprietor: No

Mailing Address

15350 Sherman Way Ste 200

Van Nuys, CA 914064458

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.