Provider Demographics
NPI:1801159413
Name:VANDERZWAN, WILLIAM (LCSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:VANDERZWAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:JAMES
Other - Last Name:VANDERZWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:11309 TALLADEGA CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-6454
Mailing Address - Country:US
Mailing Address - Phone:661-342-6229
Mailing Address - Fax:
Practice Address - Street 1:11309 TALLADEGA CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-6454
Practice Address - Country:US
Practice Address - Phone:661-342-6229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW203541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical