Healthcare Provider Details

I. General information

NPI: 1730567942
Provider Name (Legal Business Name): CLAUDIA ELIZABETH SANTANA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 E GILBERT ST
SAN BERNARDINO CA
92415-1003
US

IV. Provider business mailing address

780 E GILBERT ST
SAN BERNARDINO CA
92415-1003
US

V. Phone/Fax

Practice location:
  • Phone: 909-387-7390
  • Fax: 909-387-7100
Mailing address:
  • Phone: 909-387-7194
  • Fax: 909-387-7100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW143042
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: