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

Sally Kenton Witmer, LCSW

Individual provider Clinical Social Worker · NPI 1093550865

Sally Kenton Witmer, LCSW is a Clinical Social Worker in Bonita, California. Qualified in 1990, 36 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
36
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 Partly verified

Some contact details are missing from the federal record.

Vmr Therapy 5012 Central Ave Ste F
Bonita, CA 91902
Phone: (619) 636-0909
Fax: (619) 500-5834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 124660 (CA)

Record details

NPI number1093550865
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 25, 2024
Last updated in NPPESAugust 4, 2024
Certification dateAugust 4, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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