Provider Demographics
NPI:1144739574
Name:PAREDES, ROBIN RUTH (LCSW #101841)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:RUTH
Last Name:PAREDES
Suffix:
Gender:F
Credentials:LCSW #101841
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S LAKE AVE STE 278
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3663
Mailing Address - Country:US
Mailing Address - Phone:310-853-3319
Mailing Address - Fax:
Practice Address - Street 1:350 S LAKE AVE STE 278
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3663
Practice Address - Country:US
Practice Address - Phone:310-853-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-28
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1018411041C0700X
CA69033104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker