Healthcare Provider Details

I. General information

NPI: 1316467681
Provider Name (Legal Business Name): ADRIENNE M BUENROSTRO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADRIENNE MARIE CARDINALE LCSW

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 HOYA ST
RANCHO MISSION VIEJO CA
92694-1283
US

IV. Provider business mailing address

33 HOYA ST
RANCHO MISSION VIEJO CA
92694-1283
US

V. Phone/Fax

Practice location:
  • Phone: 949-306-5004
  • Fax:
Mailing address:
  • Phone: 949-306-5004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW76435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: