Provider Demographics
NPI:1922273549
Name:CRESPO-BELARDE, ROMANA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROMANA
Middle Name:
Last Name:CRESPO-BELARDE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13601 WHITTIER BLVD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1902
Mailing Address - Country:US
Mailing Address - Phone:562-818-2499
Mailing Address - Fax:562-239-3161
Practice Address - Street 1:13601 WHITTIER BLVD
Practice Address - Street 2:SUITE 309
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1902
Practice Address - Country:US
Practice Address - Phone:562-818-2499
Practice Address - Fax:562-239-3161
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS172791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical