Individual provider · Type 1 NPI

Doreatha Yvonne Gandy-Edmundson, LCSW

Clinical Social Worker · San Marcos, CA

NPI number 1396364071 Active

Practice location

420 N Twin Oaks Valley Rd # 318
San Marcos, CA 92069-1709

Other practice locations

  • 1738 S Tremont St, Oceanside, CA 92054-5309 · (760) 439-2800

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X91993 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1396364071

Doreatha Yvonne Gandy-Edmundson, LCSW's National Provider Identifier is 1396364071, issued on Apr 13, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Marcos, CA. The record was last updated on Jul 1, 2025.