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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREA GUADALUPE PEREZ PORTILLO

Active

ANDREA GUADALUPE PEREZ PORTILLO is a Clinical Social Worker healthcare provider located in HERCULES, California. NPI 1639624489 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · HERCULES, CA

Registration Details

NPI Number
1639624489
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2016 (9.9519880521232 yrs)
Last Updated
Feb 20, 2024
Licenses
74204 (CA)
74204 (CA)
74204 (CA)
96134 (CA)

Practice Information

Address
1375 SYCAMORE AVE APT 211
HERCULES, CA, 945475519
Browse CA providers · Browse ZIP 94547
Phone
5102535199
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Mental Health Counselor
Additional Specialty
Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in HERCULES, CA

Name Credential NPI
MISS LISA KUNKEL MSW 1710114244
NATALIE LEE 1922494772
HEATHER WOROBEY LCSW 1891368221
AARON SMITH 1487541439
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.