Provider Demographics
NPI:1780276550
Name:CARPENA, ANDREA (MSW)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:CARPENA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 SILVER CANYON RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3934
Mailing Address - Country:US
Mailing Address - Phone:714-351-2767
Mailing Address - Fax:
Practice Address - Street 1:5300 SILVER CANYON RD UNIT D
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3934
Practice Address - Country:US
Practice Address - Phone:714-351-2767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker