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TANYA BATEZA ZODULUA LCSW
NPI 1114667243
Social Worker - Clinical in San Pedro, CA

Active since March 29, 2022
302 W 5TH ST UNIT 102, SAN PEDRO, CA 90731(424) 570-6955 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tanya Bateza Zodulua Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANYA BATEZA ZODULUA LCSW (NPI 1114667243) is an individual clinical provider in San Pedro, California, licensed in California (121421) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1114667243
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANYA BATEZA ZODULUACredential: LCSW
Location Address302 W 5TH ST UNIT 102San Pedro, CA 90731-2738
Mailing Address711 Ligon Creek Loop Apt 305Wake Forest, NC 27587-4780 · (818) 224-0656
Phone(424) 570-6955
Sole ProprietorYes
Enumeration DateMarch 29, 2022
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1114667243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 121421
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
302 W 5TH ST UNIT 102, San Pedro, CA 90731
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Zodulua's NPI number?

The NPI number for Tanya Zodulua is 1114667243. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Tanya Zodulua located?

Tanya Zodulua practices at 302 W 5th St Unit 102, San Pedro, CA 90731. The listed phone number is (424) 570-6955.

What is Tanya Zodulua's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tanya Zodulua was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.