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

Lazaro Renteria Jr., LCSW137110

Individual provider Clinical Social Worker · NPI 1639890916

Lazaro Renteria Jr., LCSW137110 is a Clinical Social Worker in Coachella, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

49211 Grapefruit Blvd Ste 5&6
Coachella, CA 92236-1480
Phone: (760) 541-8520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 137110 (CA)

Record details

NPI number1639890916
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW137110
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

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