Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILLIP GEORGE TARDANICO, LCSW 69611
ActiveMR. PHILLIP GEORGE TARDANICO, LCSW 69611 is a Clinical Social Worker healthcare provider located in VICTORVILLE, California. NPI 1063871291 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · VICTORVILLE, CA
Registration Details
- NPI Number
- 1063871291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2016 (10.514057978157 yrs)
- Last Updated
- Jun 4, 2024
- Licenses
-
LCSW69611 (CA)A01210315 (CA)
Practice Information
- Address
-
15000 SEVENTH ST STE 209VICTORVILLE, CA, 923953853Browse CA providers · Browse ZIP 92395
- Phone
- 7602179527
- Fax
- 4422675623
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Clinical Social Worker Providers in VICTORVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JEANNE PATRICIA NEWCOMER | LCSW | 1629090592 |
| TARRON D RILEY | L.C.S.W | 1346342896 |
| MICHELE CRETAROLA | — | 1770624868 |
| MERLINE E REID-YANCY | — | 1508908286 |
| GEORGE POPE | — | 1457494734 |
| CHARLEN DANIELS | — | 1982749040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.