Provider Demographics
NPI:1982827861
Name:PADILLA, RUTH LETICIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:LETICIA
Last Name:PADILLA
Suffix:
Gender:F
Credentials:LCSW
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1011 BALDWIN PARK BLVD
Mailing Address - Street 2:EDUCATIONAL OUTREACH
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-5806
Mailing Address - Country:US
Mailing Address - Phone:626-851-6459
Mailing Address - Fax:626-851-5949
Practice Address - Street 1:1011 BALDWIN PARK BLVD
Practice Address - Street 2:EDUCATIONAL OUTREACH
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-5806
Practice Address - Country:US
Practice Address - Phone:626-851-6459
Practice Address - Fax:626-851-5949
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA232481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical