Provider Demographics
NPI:1811883218
Name:CUADERNO, KAITLYN CHRISTINE-POWERS
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:CHRISTINE-POWERS
Last Name:CUADERNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 SILACCI DR
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-5125
Mailing Address - Country:US
Mailing Address - Phone:831-682-7865
Mailing Address - Fax:
Practice Address - Street 1:167 S SAN ANTONIO RD STE 2
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-3055
Practice Address - Country:US
Practice Address - Phone:650-946-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPENDING1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical