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

Sandra Escobedo

Individual provider Mental Health Counselor · NPI 1639577109

Sandra Escobedo is a Clinical Social Worker in Gardena, California. Qualified in 2014, 12 years ago. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

108 W Victoria St
Gardena, CA 90248-3523
Phone: (310) 715-2020
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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 99513 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW63218 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1639577109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2014
Last updated in NPPESNovember 4, 2024
Certification dateOctober 30, 2024
Mailing address3909 E 56th St, Maywood, CA 90270-2703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Gardena