Felicita Tino, LCSW, ACSW, CCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73407 Issued in CA

Practice address

40005 10TH St W
Ste 106
Palmdale, CA 93551-3037

Phone

(661) 265-8627

NPI assigned

Sep 14, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Felicita Cardenas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1750699658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 RISTOW CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126883",
            "telephone_number": "661-619-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40005 10TH ST W",
            "address_2": "STE 106",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513037",
            "telephone_number": "661-265-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINO",
        "first_name": "FELICITA",
        "credential": "LCSW, ACSW, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "28263",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICITA",
            "last_name": "CARDENAS",
            "credential": "LCSW, ACSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.