Vivian Castaneda, LCSW
Individual provider Active NPI Clinical Social Worker · Hacienda Heights, CA
NPI 1821177817 · NPPES record last updated Oct 20, 2022
Key facts
- NPI
- 1821177817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 28471 (CA)
- Practice address
- 3211 Leticia Dr
Hacienda Heights, CA 91745-6223 - Phone
- (323) 591-4884
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| ASW 18403 | CA | MD | Social Worker |
| 28471 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW 18403 | CA | |
| Clinical Social Worker | 1041C0700X | 28471 | CA | Yes |
Addresses
Primary practice location
3211 Leticia Dr
Hacienda Heights, CA 91745-6223
Mailing address
20651 Golden Springs Dr Ste F #3100
Walnut, CA 91789-3866
Phone (323) 591-4884
Other providers in Hacienda Heights, CA
- Richard Anthony Carranza II
- Vicky Carrillo Estrada
- Dulce Carrillo
- Casey Fu M D Inc
- Gabriel Cassar
- Marlene E Castellanos Duran
- Brenda Castellanos
- Jose Castillo
- Karina Castillo
- Victoria Xa Castillo
All providers in Hacienda Heights, 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 Oct 20, 2022. 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.