Provider Demographics
NPI:1801670641
Name:CADENAZZI, AMY ALEXIS (LCSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ALEXIS
Last Name:CADENAZZI
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 1:17 SEASONS CT
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5033
Mailing Address - Country:US
Mailing Address - Phone:559-706-0836
Mailing Address - Fax:
Practice Address - Street 1:334 SHAW AVE STE 100
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3839
Practice Address - Country:US
Practice Address - Phone:559-712-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1081691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical