Provider Demographics
NPI:1164655437
Name:TENORIO, ISELA (MSW)
Entity type:Individual
Prefix:
First Name:ISELA
Middle Name:
Last Name:TENORIO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 BEVERLY PL
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-1055
Mailing Address - Country:US
Mailing Address - Phone:562-533-0851
Mailing Address - Fax:
Practice Address - Street 1:400 E HERMOSA ST
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:CA
Practice Address - Zip Code:93247-2124
Practice Address - Country:US
Practice Address - Phone:559-562-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW29006101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health