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Contact Information

PATSY ANDRADA, MSW, LISW
16465 SIERRA LAKES PKWY STE 145
FONTANA, CA92336-1242
 Phone: 909-725-4742
 Fax: 909-752-9275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PATSY ANDRADA · (Female)

NPI Number 1801165162
Status Active
Credentials MSW, LISW
Entity Individual
Enumeration date 12/15/2011
Last updated 01/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 17455
  • NM License # 208000000X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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