Provider Demographics
NPI:1801199351
Name:PADILLA, KARLA VANESSA
Entity Type:Individual
Prefix:MISS
First Name:KARLA
Middle Name:VANESSA
Last Name:PADILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KARLA
Other - Middle Name:VANESSA
Other - Last Name:PADILLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11469 NW 93RD CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4268
Mailing Address - Country:US
Mailing Address - Phone:786-609-4578
Mailing Address - Fax:
Practice Address - Street 1:11469 NW 93RD CT
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4268
Practice Address - Country:US
Practice Address - Phone:786-609-4578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker