Phillip Tardanico, Licensed Clinical Social Worker & Associates, Pc
Clinical Social Worker · Victorville, CA
At a glance
15000 7Th St Ste 209, Victorville, CA 92395-3853
NPPES record updated Nov 23, 2021. Public records can lag behind changes at a practice.
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Practice location
15000 7Th St Ste 209Victorville, CA 92395-3853
Additional reported practice locations
1738 N Waterman Ave Ste 3San Bernardino, CA 924045131
Phone: 7602179527
Fax: 4422675623 1500 Seventh Street
Suite 201
Victorville, CA 92395
Phone: 7602179527
Fax: 4422675623
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Jul 20, 2020
- Record updated
- Nov 23, 2021
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
101YA0400X
Clinical Social Worker
1041C0700X · Primary
Specialty details in registry
106H00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
15000 7Th St Ste 209Victorville, CA 92395-3853
- Phone
- (760) 217-9527
- Fax
- (442) 267-5623
Mailing address
15000 7TH STREET SUITE 201VICTORVILLE, CA 923952463
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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