Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Deborah Vandenboom, LCSW

Individual provider Clinical Social Worker · NPI 1164509758

MS. Deborah Vandenboom, LCSW is a Clinical Social Worker in Upland, California. Qualified in 2002, 24 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

600 N Mountain Ave Ste C205I
Upland, CA 91786-4359
Phone: (909) 377-2616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Medical Center Dr, San Bernardino, CA 92411-1218 — (909) 887-6222

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS23358 (CA)

Record details

NPI number1164509758
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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