Provider Demographics
NPI:1699226936
Name:RENDT PADRON, ARIEL KRISTINE (LCSW)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:KRISTINE
Last Name:RENDT PADRON
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 1:2701 DEL MAR DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1723
Mailing Address - Country:US
Mailing Address - Phone:619-972-3775
Mailing Address - Fax:
Practice Address - Street 1:2701 DEL MAR DR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-1723
Practice Address - Country:US
Practice Address - Phone:970-549-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health