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

Individual provider Clinical Social Worker · NPI 1114667243

Tanya Bateza Zodulua, LCSW is a Clinical Social Worker in San Pedro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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

302 W 5th St Unit 102
San Pedro, CA 90731-2738
Phone: (424) 570-6955
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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 121421 (CA)

Record details

NPI number1114667243
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

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