MS. DEBORAH VANDENBOOM LCSW
NPI 1164509758
Social Worker - Clinical in Upland, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
600 N MOUNTAIN AVE STE C205I, UPLAND, CA 91786(909) 377-2616 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 13, 2017 and 1 more (4 updates tracked since 2017).

About Ms. Deborah Vandenboom Lcsw NPPES

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

MS. DEBORAH VANDENBOOM LCSW (NPI 1164509758) is an individual clinical provider in Upland, California, licensed in California (LCS23358) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1164509758
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DEBORAH VANDENBOOMCredential: LCSW
Location Address600 N MOUNTAIN AVE STE C205IUpland, CA 91786-4359
Mailing AddressPo Box 2026Upland, CA 91785-2026 · (909) 377-2616
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1164509758 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 · LCS23358
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.
600 N MOUNTAIN AVE STE C205I, Upland, CA 91786

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Deborah Vandenboom 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 ID5698878130
PECOS Enrollment IDI20170911002733
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
265 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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 $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
600 N MOUNTAIN AVE STE C205I
UPLAND, CA 91786
Community/Behavioral Health
600 N MOUNTAIN AVE STE C205I
UPLAND, CA 91786

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 Deborah Vandenboom's NPI number?

The NPI number for Deborah Vandenboom is 1164509758. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Deborah Vandenboom located?

Deborah Vandenboom practices at 600 N Mountain Ave Ste C205i, Upland, CA 91786. The listed phone number is (909) 377-2616.

What is Deborah Vandenboom's specialty?

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

Is Deborah Vandenboom enrolled in Medicare?

Yes. Deborah Vandenboom 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.

What insurance does Deborah Vandenboom accept?

Health plans from Providence Health Plan list Deborah Vandenboom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deborah Vandenboom was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.