Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTONIO CHARLES FIDLER-WOODARD
NPI 1558083725
Social Worker - Clinical in Lakewood, CA

Q: What is Antonio Fidler-woodard's NPI number?

The NPI number for Antonio Fidler-woodard is 1558083725. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Q: What is Antonio Fidler-woodard's specialty?

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

Active since September 14, 2022

4067 HARDWICK ST # 363, LAKEWOOD, CA 90712(323) 849-0220 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 2, 2026, Jun 24, 2025, Jul 6, 2023 and 2 more (5 updates tracked since 2022).

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About Antonio Charles Fidler-woodard NPPES

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

ANTONIO CHARLES FIDLER-WOODARD (NPI 1558083725) is an individual clinical provider in Lakewood, California, licensed in California (131056) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1558083725

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameANTONIO CHARLES FIDLER-WOODARD

Location Address4067 HARDWICK ST # 363Lakewood, CA 90712-2350

Mailing Address4067 Hardwick St # 363Lakewood, CA 90712-2350 · (323) 849-0220

Phone(323) 849-0220

Sole ProprietorYes

Enumeration DateSeptember 14, 2022

Last NPPES UpdateSeptember 2, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1558083725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 131056

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 107950 (CA)

4067 HARDWICK ST # 363, Lakewood, CA 90712

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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 Antonio Fidler-woodard's NPI number?

The NPI number for Antonio Fidler-woodard is 1558083725. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Antonio Fidler-woodard located?

Antonio Fidler-woodard practices at 4067 Hardwick St # 363, Lakewood, CA 90712. The listed phone number is (323) 849-0220.

What is Antonio Fidler-woodard'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 Antonio Fidler-woodard was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.