MEDICARE: ANNA CORONA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	136066	CA
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1689093122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA CORONA LCSW

Provider Business Mailing Address
First Line	:	447 N EL MOLINO AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-1403
Country	:	US
Telephone Number	:	626-577-8480
Fax Number	:

Provider Business Practice Location Address
First Line	:	253 N SAN GABRIEL BLVD STE 100
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-3429
Country	:	US
Telephone Number	:	626-577-8480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	01/15/2026

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Directions to “ ANNA CORONA LCSW” Practice Location

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