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

Wanda Pathomrit, LCSW

Individual provider Mental Health Counselor · NPI 1205338639

Wanda Pathomrit, LCSW is a Clinical Social Worker in Van Nuys, California. Qualified in 2015, 11 years ago. Practices with Special Service for Groups Inc, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2018
Specialties on file
4
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

15350 Sherman Way Ste 200
Van Nuys, CA 91406-4458
Phone: (818) 267-1100
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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 LCSW113153 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ACSW106131 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 69847 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1205338639
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address15350 Sherman Way Ste 200, Van Nuys, CA 91406-4458

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Special Service For Groups Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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