Deborah Vandenboom, LCSW
NPI 1164509758ActiveIndividual· Social Worker, Clinical· Upland, CA
Social Worker, Clinical (LCSW) in Upland, California, licensed in CA, with an NPI issued in November 2006. Medicare paid $20,955 for services to 12 patients in 2024.
Overview
| NPI | 1164509758 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCS23358 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 320 across 2 procedure codes |
| Paid by Medicare | $20,955 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other clinical social workers in Upland
- 1235672551
- 1235887233
- 1306818653
- 1487287322
- 1689550386
- 1952852576
- 1144834631
- 1215590757
- 1215695531
- 1235890542
- 1265863666
- 1407461577
All 65 clinical social workers in Upland · All clinical social workers in California