Provider Demographics
NPI:1093507576
Name:SORIA, ANDREA ISABEL
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:ISABEL
Last Name:SORIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:ISABEL
Other - Last Name:SORIA-CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5420 POUNTSMONTH DR
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CA
Mailing Address - Zip Code:95368-8135
Mailing Address - Country:US
Mailing Address - Phone:562-607-6659
Mailing Address - Fax:
Practice Address - Street 1:5420 POUNTSMONTH DR
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CA
Practice Address - Zip Code:95368-8135
Practice Address - Country:US
Practice Address - Phone:562-607-6659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1081291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical