MEDICARE: MRS. CRYSTAL CENDEJAS MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW128715	CA

General Provider Information

NPI Number	:	1942833975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRYSTAL CENDEJAS MSW, LCSW

Provider Business Mailing Address
First Line	:	PO BOX 10010
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92552-0010
Country	:	US
Telephone Number	:	323-918-8191
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 10010
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92552-0010
Country	:	US
Telephone Number	:	323-918-8191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	06/06/2026

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