Healthcare Provider Details

I. General information

NPI: 1124571005
Provider Name (Legal Business Name): MARCIA CANEDO SAINICK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15333 CULVER DR STE 340
IRVINE CA
92604-3051
US

IV. Provider business mailing address

15333 CULVER DR STE 340
IRVINE CA
92604-3051
US

V. Phone/Fax

Practice location:
  • Phone: 877-682-0043
  • Fax: 415-795-7537
Mailing address:
  • Phone: 877-682-0043
  • Fax: 415-795-7537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number104497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: