Provider Demographics
NPI:1255501870
Name:STANIGAR, JUDITH V (LCSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:V
Last Name:STANIGAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7130 SITIO DESTINO
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-2040
Mailing Address - Country:US
Mailing Address - Phone:415-689-0855
Mailing Address - Fax:
Practice Address - Street 1:7130 SITIO DESTINO
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-2040
Practice Address - Country:US
Practice Address - Phone:415-689-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW257011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical