Provider Demographics
NPI:1417775156
Name:COVARRUBIAS-PALACIOS, VERONICA (ASW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:COVARRUBIAS-PALACIOS
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17331 HIBISCUS ST
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-4916
Mailing Address - Country:US
Mailing Address - Phone:626-629-9814
Mailing Address - Fax:
Practice Address - Street 1:2025 N D ST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92405-3913
Practice Address - Country:US
Practice Address - Phone:909-475-8793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical