Healthcare Provider Details

I. General information

NPI: 1396522439
Provider Name (Legal Business Name): ADRIANA CASTANEDA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19231 VICTORY BLVD STE 110
RESEDA CA
91335-6321
US

IV. Provider business mailing address

19231 VICTORY BLVD STE 110
RESEDA CA
91335-6321
US

V. Phone/Fax

Practice location:
  • Phone: 818-378-5895
  • Fax:
Mailing address:
  • Phone: 818-378-5895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberACSW131294
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: