Provider Demographics
NPI:1255205563
Name:MARTINEZ VANDENBERGH, CLAUDIA LUCIA (LCSW)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LUCIA
Last Name:MARTINEZ VANDENBERGH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:ELK
Mailing Address - State:CA
Mailing Address - Zip Code:95432-0243
Mailing Address - Country:US
Mailing Address - Phone:559-960-3603
Mailing Address - Fax:
Practice Address - Street 1:31441 PHILO GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:ELK
Practice Address - State:CA
Practice Address - Zip Code:95432-9416
Practice Address - Country:US
Practice Address - Phone:559-960-3603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA288781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical