Provider Demographics
NPI:1285519660
Name:ZEPEDA, TANIA ISABEL CARDENAS (MSW,ACSW)
Entity type:Individual
Prefix:
First Name:TANIA ISABEL
Middle Name:CARDENAS
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:MSW,ACSW
Other - Prefix:
Other - First Name:TANIA
Other - Middle Name:
Other - Last Name:ZEPEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1100 H ST
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95354-2338
Mailing Address - Country:US
Mailing Address - Phone:209-238-6632
Mailing Address - Fax:
Practice Address - Street 1:1100 H ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-2338
Practice Address - Country:US
Practice Address - Phone:209-238-6632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105003101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health