Doctor Name: | SOCORRO PADILLA |
NPI Number: | 1366858623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, ASWI 32734 |
License Number: | 32734 |
Business Practice Address: | 7000b S Center Dr Clearlake, CA - 954228131 |
Business Phone Number: | 7079947090 |
Business Fax Number: | 7079947092 |
Mailing Address: | Po Box 937, MIDDLETOWN |
State: | CA |
Postal Code: | 954610937 |
Phone Number: | 7072957249 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2014 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 32734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |