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

Ernestvid Tamayo III, LCSW

Individual provider Clinical Social Worker · NPI 1417532920

Ernestvid Tamayo III, LCSW is a Clinical Social Worker in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1719 N Summit Ave
Pasadena, CA 91103-1844
Phone: (213) 503-0429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 95917 (CA)

Record details

NPI number1417532920
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

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