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SALLY KENTON WITMER LCSW
NPI 1093550865
Social Worker - Clinical in Bonita, CA

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment
VMR THERAPY, 5012 CENTRAL AVE, SUITE F, BONITA, CA 91902(619) 636-0909(619) 500-5834 Get Directions Write a Review

NPPES record last updated: August 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2024, Jun 25, 2024 (2 updates tracked since 2024).

About Sally Kenton Witmer Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY KENTON WITMER LCSW (NPI 1093550865) is an individual clinical provider in Bonita, California, licensed in California (124660) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1093550865
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSALLY KENTON WITMERCredential: LCSW
Location AddressVMR THERAPY, 5012 CENTRAL AVE, SUITE FBonita, CA 91902
Mailing Address8697 La Mesa Blvd Ste CLa Mesa, CA 91942-9565 · (408) 221-1378
Phone(619) 636-0909
Fax(619) 500-5834
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJune 25, 2024
Last NPPES UpdateAugust 4, 20242 updates tracked since enumeration
NPPES CertifiedAugust 4, 2024
✔ NPI 1093550865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 124660
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
VMR THERAPY, Bonita, CA 91902
Open in Google Maps ↗

Other Names 1

Former Name (1)Sally Elizabeth Kenton Witmer

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sally Kenton Witmer Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012423379
PECOS Enrollment IDI20250723001047
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sally Witmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
430 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Witmer's NPI number?

The NPI number for Sally Witmer is 1093550865. It was assigned to this individual provider in the NPPES registry on June 25, 2024. The provider is also known as Sally Elizabeth Kenton Witmer.

Where is Sally Witmer located?

Sally Witmer practices at Vmr Therapy 5012 Central Ave, Suite F, Bonita, CA 91902. The listed phone number is (619) 636-0909.

What is Sally Witmer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sally Witmer enrolled in Medicare?

Yes. Sally Witmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sally Witmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Witmer reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sally Witmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sally Witmer was last updated on August 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.