Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1063020717

Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC is an Addiction (Substance Use Disorder) Counselor in Victorville, California. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15000 7th St Ste 209
Victorville, CA 92395-3853
Phone: (760) 217-9527
Fax: (442) 267-5623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1738 N Waterman Ave Ste 3, San Bernardino, CA 92404-5131 — (760) 217-9527
  • 1500 Seventh Street, Victorville, CA 92395 — (760) 217-9527

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1063020717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Tardanico — President/Ceo · (760) 217-9527
NPI enumeratedJuly 20, 2020
Last updated in NPPESNovember 23, 2021
Certification dateNovember 9, 2021
Mailing address15000 7th Street Suite 201, Victorville, CA 92395-2463

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