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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: July 26, 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 with the weekly NPPES data releases published by CMS.