Richard De La Garza, LCSW
Social Worker, Clinical in San Jose, CA. Individual provider (NPI-1).
NPI number1023451069
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1023451069
- Entity type
- Individual (NPI-1)
- Name
- Richard De La Garza
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2013
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 83253 | CA | Yes |
| 1041C0700X | Social Worker, Clinical | 079270-1 | NY |
Practice location
1245 S Winchester Blvd Ste 110San Jose, CA 95128-3908
Phone 925-282-1778 · Fax 415-296-5299
Mailing address
1245 S Winchester Blvd Ste 110San Jose, CA 95128-3908
Phone 925-282-1778 · Fax 415-296-5299
Other practice locations
3801 Miranda Ave
Palo Alto, CA 94304-1207
Palo Alto, CA 94304-1207
Phone 650-493-5000
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