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

Individual provider Clinical Social Worker · NPI 1619739596

Robert Vergara, LCSW is a Clinical Social Worker in San Leandro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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

1696 Redwood Ave
San Leandro, CA 94579-1202
Phone: (510) 220-3048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 65837 (CA)

Record details

NPI number1619739596
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 26, 2024
Last updated in NPPESJanuary 26, 2024
Certification dateFebruary 14, 2022

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