Healthcare Provider Details

I. General information

NPI: 1235259821
Provider Name (Legal Business Name): ART A. GALINDO JR. LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N LAKE ST
MADERA CA
93638-3330
US

IV. Provider business mailing address

PO BOX 1288
MADERA CA
93639-1288
US

V. Phone/Fax

Practice location:
  • Phone: 559-661-5156
  • Fax: 559-661-2818
Mailing address:
  • Phone: 559-661-5156
  • Fax: 559-661-2818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW 14726
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25647
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: