Provider Demographics
NPI:1134191182
Name:TANDO, DARLENE ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:ANN
Last Name:TANDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:ANN
Other - Last Name:REECE/MCNEES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:110 1/2 W PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4016
Mailing Address - Country:US
Mailing Address - Phone:619-948-8926
Mailing Address - Fax:619-255-3870
Practice Address - Street 1:110 1/2 W PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-4016
Practice Address - Country:US
Practice Address - Phone:619-948-8926
Practice Address - Fax:619-255-3870
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA216991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical