Provider Demographics
NPI:1720375264
Name:FIGUEROA, ANGELICA (LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANGELICA
Other - Middle Name:
Other - Last Name:DE ANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3100 BIG DALTON AVE STE 170
Mailing Address - Street 2:#267
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-5136
Mailing Address - Country:US
Mailing Address - Phone:626-991-0395
Mailing Address - Fax:
Practice Address - Street 1:1126 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-1551
Practice Address - Country:US
Practice Address - Phone:626-967-1667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA720451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical