Individual provider · Type 1 NPI

Phillip George Tardanico, LCSW 69611

Clinical Social Worker · Victorville, CA

NPI number 1063871291 Active

Practice location

15000 Seventh St Ste 209
Victorville, CA 92395-3853

Call (760) 217-9527 Map

Fax (442) 267-5623

Other practice locations

  • 15000 Seventh St Ste 203, Victorville, CA 92395-3851 · (760) 217-9527
  • 1738 N Waterman Ave Ste 3, San Bernardino, CA 92404-5131 · (760) 217-9527

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW69611 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XA01210315 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1063871291

Phillip George Tardanico, LCSW 69611's National Provider Identifier is 1063871291, issued on Feb 16, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Victorville, CA. The record was last updated on Jun 4, 2024.