Richard Piedra Madero, LCSW
Individual provider Active NPI Clinical Social Worker · Blue Jay, CA
NPI 1437584547 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1437584547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 106291 (CA)
- Practice address
- PO Box 1401
Blue Jay, CA 92317-1401 - Phone
- (818) 378-0594
- NPI assigned
- Sep 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106291 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106291 | CA | Yes |
Addresses
Primary practice location
PO Box 1401
Blue Jay, CA 92317-1401
Mailing address
PO Box 1401
Blue Jay, CA 92317-1401
Phone (818) 378-0594
Other providers in Blue Jay, CA
- Laura Lee Larson
- Yun Nancy Lee
- Ruth E Lester
- Hans Ignatius Lim
- Nancy Campos Madero
- Laura Sydney Medina
- Pooja Mujumdar
- Nurses for Safe Access
- Nurses for Safe Access
- Pamela Perlmutter
All providers in Blue Jay, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.