Healthcare Provider Details

I. General information

NPI: 1750113536
Provider Name (Legal Business Name): VERONICA PINEDA DE GALLI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 01/10/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9585 VANCOUVER LN
WINDSOR CA
95492-8330
US

IV. Provider business mailing address

9585 VANCOUVER LN
WINDSOR CA
95492-8330
US

V. Phone/Fax

Practice location:
  • Phone: 707-322-6058
  • Fax:
Mailing address:
  • Phone: 707-322-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW23462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: