Organization
DEPARTMENT OF VETERAN AFFAIRS
Active
Organization
DEPARTMENT OF VETERAN AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY NOVEDA CABARDO ASW (SOCIAL WORKER CASE MANAGER)
(650) 493-5000
Entity
Organization
Contact information
Practice address
795 WILLOW RD, (180D), MENLO PARK, CA 94025-2539
(650) 493-5000
(650) 617-6709
Mailing address
795 WILLOW RD, (180D), MENLO PARK, CA 94025-2539
(650) 493-5000
(650) 617-6709
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ASW22448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ASW22448
ASSOCIATE CLINICAL SOCIAL WORKER
CA
Enumeration date
03/08/2010
Last updated
03/08/2010
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