Provider Demographics
NPI:1407002199
Name:PADILLA, CINDY MARIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:MARIE
Last Name:PADILLA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39959 SIERRA HWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-3313
Mailing Address - Country:US
Mailing Address - Phone:661-223-4201
Mailing Address - Fax:661-273-9357
Practice Address - Street 1:39959 SIERRA HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-3313
Practice Address - Country:US
Practice Address - Phone:661-223-4201
Practice Address - Fax:661-273-9357
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CAASW251901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker