Provider Demographics
NPI:1730412131
Name:SERRANO CARDENAS, PAULA (ASW81003)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:SERRANO CARDENAS
Suffix:
Gender:F
Credentials:ASW81003
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 41ST ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-2221
Mailing Address - Country:US
Mailing Address - Phone:510-260-7668
Mailing Address - Fax:510-374-3857
Practice Address - Street 1:303 41ST ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805
Practice Address - Country:US
Practice Address - Phone:925-634-4445
Practice Address - Fax:925-634-6235
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical