Healthcare Provider Details

I. General information

NPI: 1386319556
Provider Name (Legal Business Name): PATRICIA PINEDO-URENA MSW, ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATRICIA URENA MSW

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18039 CHATSWORTH ST # 33544
GRANADA HILLS CA
91344-5608
US

IV. Provider business mailing address

PO BOX 33544
GRANADA HILLS CA
91394-3544
US

V. Phone/Fax

Practice location:
  • Phone: 818-438-0258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number99918
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number99918
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: