Provider Demographics
NPI:1568727105
Name:NAVARRO, HILDA (LCSW)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3722 E COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3872
Mailing Address - Country:US
Mailing Address - Phone:266-432-4331
Mailing Address - Fax:626-432-4336
Practice Address - Street 1:3722 E COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3872
Practice Address - Country:US
Practice Address - Phone:626-432-4331
Practice Address - Fax:626-432-4336
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA894231041C0700X
CA171M00000X, 225400000X
CA1076001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA107600OtherCA BOARD OF BEHAVIORAL SCIENCES - LICENSED CLINICAL SOCIAL WORKER