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DOREATHA YVONNE GANDY-EDMUNDSON LCSW
NPI 1396364071
Social Worker - Clinical in San Marcos, CA

Active since April 13, 2020
420 N TWIN OAKS VALLEY RD # 318, SAN MARCOS, CA 92069(858) 472-5497 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, Apr 13, 2020 (2 updates tracked since 2020).

About Doreatha Yvonne Gandy-edmundson Lcsw NPPES

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

DOREATHA YVONNE GANDY-EDMUNDSON LCSW (NPI 1396364071) is an individual clinical provider in San Marcos, California, licensed in California (91993) and active in the NPI registry since April 2020. She maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1396364071
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOREATHA YVONNE GANDY-EDMUNDSONCredential: LCSW
Location Address420 N TWIN OAKS VALLEY RD # 318San Marcos, CA 92069-1709
Mailing Address420 N Twin Oaks Valley Rd # 318San Marcos, CA 92069-1709 · (858) 472-5497
Phone(858) 472-5497
Sole ProprietorYes
Enumeration DateApril 13, 2020
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1396364071 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 · 91993
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.
420 N TWIN OAKS VALLEY RD # 318, San Marcos, CA 92069
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Secondary Practice Location 1

Location 11738 S Tremont StOceanside, CA 92054-5309 · Phone (760) 439-2800

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Doreatha Gandy-edmundson's NPI number?

The NPI number for Doreatha Gandy-edmundson is 1396364071. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Doreatha Gandy-edmundson located?

Doreatha Gandy-edmundson practices at 420 N Twin Oaks Valley Rd # 318, San Marcos, CA 92069. The listed phone number is (858) 472-5497.

What is Doreatha Gandy-edmundson's specialty?

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

When was this NPI record last updated?

The NPPES record for Doreatha Gandy-edmundson was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.