Phillip Tardanico, LCSW 69611
NPI 1063871291 · Clinical Social Worker · Victorville, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Tardanico, LCSW 69611 is a Clinical Social Worker provider in Victorville, CA (NPI 1063871291).
Provider details
- NPI number
- 1063871291
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW 69611
- Sex
- Male
- Sole proprietor
- No
- License
- LCSW69611 (CA)
Specialties & taxonomies
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
10 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) 217-9527
- 15000 Seventh St Ste 203Victorville, CA 92395-3851Phone: (760) 217-9527
Registry dates
- Enumerated
- 2016-02-16
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Frequently asked questions
- What is Phillip Tardanico's NPI number?
- Phillip Tardanico's National Provider Identifier (NPI) is 1063871291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Tardanico's specialty?
- Phillip Tardanico is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Phillip Tardanico located?
- Phillip Tardanico's practice location on file with NPPES is 15000 Seventh St Ste 209, Victorville, CA 92395-3853.
- What is Phillip Tardanico's phone number?
- The practice phone number listed in the NPPES registry for Phillip Tardanico is (760) 217-9527.
- Does Phillip Tardanico accept Medicare?
- Phillip Tardanico is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Tardanico's NPI active?
- Yes — Phillip Tardanico's NPI (1063871291) is active in the NPPES registry as of the last update on 2024-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.