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IMOGEN WORMWOOD
NPI 1669046389
Local Education Agency (LEA) in Santa Rosa, CA

Active since May 17, 2021
4415 SONOMA HWY, SANTA ROSA, CA 95409(707) 327-0909 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, May 17, 2021 (2 updates tracked since 2021).

About Imogen Wormwood NPPES

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

IMOGEN WORMWOOD (NPI 1669046389) is an individual local education agency (lea) provider in Santa Rosa, California and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1669046389
Entity TypeIndividualFemale
Primary Taxonomy251300000X
Provider Legal NameIMOGEN WORMWOOD
Location Address4415 SONOMA HWYSanta Rosa, CA 95409-7100
Mailing Address447 Sebastopol AveSanta Rosa, CA 95401-8502 · (707) 766-4810
Phone(707) 327-0909
Sole ProprietorNo
Enumeration DateMay 17, 2021
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1669046389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4415 SONOMA HWY, Santa Rosa, CA 95409
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Other Providers at the Same Location NPPES 8

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

ISABELLA BRODIE EARL
Behavior Technician
4415 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (707) 327-0909
MEGAN SCHWEITZ LCSW
Social Worker (Clinical)
4415 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (707) 327-0909
COREY MUNROE
Social Worker (Clinical)
4415 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (707) 327-0909
DAVID JOHN MARTIN M.D.
Urology
4415 SONOMA HWY, SUITE A
SANTA ROSA, CA 95409
Sonoma County (707) 537-2070
CHICO FEMINIST WOMEN'S HEALTH CENTER
Clinic/Center (Ambulatory Family Planning Facility)
4415 SONOMA HWY, SUITE D
SANTA ROSA, CA 95409
Sonoma County (707) 537-1174
NORTH BAY MEDICAL GROUP SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
4415 SONOMA HWY, SUITE B
SANTA ROSA, CA 95409
Sonoma County (707) 591-0619
ADVENTIST HEALTH PHYSICIANS NETWORK
Clinic/Center (Multi-Specialty)
4415 SONOMA HWY, SUITE D
SANTA ROSA, CA 95409
Sonoma County (707) 963-7200
KRISTA RAE
Marriage & Family Therapist
4415 SONOMA HWY
SANTA ROSA, CA 95409
Sonoma County (562) 609-0385

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 Imogen Wormwood's NPI number?

The NPI number for Imogen Wormwood is 1669046389. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Imogen Wormwood located?

Imogen Wormwood practices at 4415 Sonoma Hwy, Santa Rosa, CA 95409. The listed phone number is (707) 327-0909.

What is Imogen Wormwood's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

When was this NPI record last updated?

The NPPES record for Imogen Wormwood was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.