WANDA PATHOMRIT LCSW
NPI 1205338639
Social Worker - Clinical in Van Nuys, CA
About Wanda Pathomrit Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WANDA PATHOMRIT LCSW (NPI 1205338639) is an individual clinical provider in Van Nuys, California, licensed in California (LCSW113153) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 3
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
Wanda Pathomrit 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.
Medicare Billing Reassignment
Medicare enrollment records show Wanda Pathomrit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Van Nuys, CA 91406
- Reassigned Medicare billing, California enrollment
- 131 clinicians in this Medicare group
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 91406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VAN NUYS, CA 91406
VAN NUYS, CA 91406
VAN NUYS, CA 91406
VAN NUYS, CA 91406
VAN NUYS, CA 91406
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 Wanda Pathomrit's NPI number?
The NPI number for Wanda Pathomrit is 1205338639. It was assigned to this individual provider in the NPPES registry on March 1, 2018.
Where is Wanda Pathomrit located?
Wanda Pathomrit practices at 15350 Sherman Way Ste 200, Van Nuys, CA 91406. The listed phone number is (818) 267-1100.
What is Wanda Pathomrit's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Wanda Pathomrit enrolled in Medicare?
Yes. Wanda Pathomrit 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 Wanda Pathomrit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Pathomrit reassigns Medicare benefits to Special Service For Groups, Inc. (Van Nuys, 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 Wanda Pathomrit'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 Wanda Pathomrit was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Wanda Pathomrit, LCSW · NPI 1205338639
Clinical provider in Van Nuys, California. Individual provider, active in the CMS NPPES registry since March 1, 2018.
## Identity
- **NPI:** 1205338639 (Entity type: Individual)
- **Enumerated:** March 1, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW113153 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15350 SHERMAN WAY STE 200, Van Nuys, CA 91406-4458
- **Phone:** (818) 267-1100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Special Service For Groups, Inc. (NPI 1710018841, Van Nuys, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205338639) · Data from the CMS NPPES public registry.