Individual
JESUS CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
828 W VENTURA ST STE 240, FILLMORE, CA 93015-1882
(805) 746-3845
Mailing address
828 W VENTURA ST STE 240, FILLMORE, CA 93015-1882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
97694
CA
1041C0700X
Clinical Social Worker
ASW97694
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518176379
CASA E- STONEHENGE
CA
01
—
941735271
TELECARE CORPORATION
CA
Enumeration date
09/05/2018
Last updated
07/17/2026
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