Provider Demographics
NPI:1871084715
Name:CARDOZA, CLAUDIA JEANNETHE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:JEANNETHE
Last Name:CARDOZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2933 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-4243
Mailing Address - Country:US
Mailing Address - Phone:951-224-8220
Mailing Address - Fax:951-241-7290
Practice Address - Street 1:2933 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507
Practice Address - Country:US
Practice Address - Phone:951-224-8220
Practice Address - Fax:951-241-7290
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-26
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA827781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical