Provider Demographics
NPI:1275414534
Name:WASSERMAN, SANDRA M (PPS, LCSW)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:M
Last Name:WASSERMAN
Suffix:
Gender:F
Credentials:PPS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 OLD ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4331
Mailing Address - Country:US
Mailing Address - Phone:925-552-5500
Mailing Address - Fax:
Practice Address - Street 1:3131 STONE VALLEY RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-1129
Practice Address - Country:US
Practice Address - Phone:925-552-5530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical