Healthcare Provider Details

I. General information

NPI: 1144739574
Provider Name (Legal Business Name): ROBIN RUTH PAREDES LCSW #101841
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S LAKE AVE STE 278
PASADENA CA
91101-3663
US

IV. Provider business mailing address

350 S LAKE AVE STE 278
PASADENA CA
91101-3663
US

V. Phone/Fax

Practice location:
  • Phone: 310-853-3319
  • Fax:
Mailing address:
  • Phone: 310-853-3319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number101841
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: