Machelle Pardue
Social Worker, Clinical in San Jose, CA. Individual provider (NPI-1).
NPI number1750832937
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1750832937
- Entity type
- Individual (NPI-1)
- Name
- Machelle Pardue
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2016
- Certification date
- May 1, 2024
- Last updated
- May 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 121370 | CA | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
1400 Parkmoor AveSuite 115
San Jose, CA 95126-3797
Phone 408-971-9822
Mailing address
4082 Valeta St Unit 361San Diego, CA 92110-5823
Phone 619-609-4937
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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