Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC
NPI 1063020717 · Clinical Social Worker · Victorville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC is a Clinical Social Worker organization in Victorville, CA (NPI 1063020717).
Provider details
- NPI number
- 1063020717
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Phillip Tardanico, President/Ceo(760) 217-9527
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1738 N Waterman Ave Ste 3San Bernardino, CA 92404-5131Phone: (760) 217-9527Fax: (442) 267-5623
- 1500 Seventh StreetSuite 201Victorville, CA 92395Phone: (760) 217-9527Fax: (442) 267-5623
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2021-11-23
- Certified
- 2021-11-09
Frequently asked questions
- What is Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC's NPI number?
- Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC's National Provider Identifier (NPI) is 1063020717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC?
- Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC located?
- Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC's practice location on file with NPPES is 15000 7th St Ste 209, Victorville, CA 92395-3853.
- What is Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC's phone number?
- The practice phone number listed in the NPPES registry for Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC is (760) 217-9527.
- Does Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC accept Medicare?
- Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC?
- The authorized official listed on Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC's NPPES record is Phillip Tardanico, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC's NPI active?
- Yes — Phillip Tardanico, Licensed Clinical Social Worker & Associates, PC's NPI (1063020717) is active in the NPPES registry as of the last update on 2021-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.