Provider Demographics
NPI:1992439764
Name:SALDANA GAMA, EVELIN (LCSW)
Entity type:Individual
Prefix:
First Name:EVELIN
Middle Name:
Last Name:SALDANA GAMA
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:EVELIN
Other - Middle Name:
Other - Last Name:SANDOVAL G
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASW
Mailing Address - Street 1:1086 WESTSIDE ST
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-1433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:882 W HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-1774
Practice Address - Country:US
Practice Address - Phone:559-342-9055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110064101YM0800X, 104100000X, 1041C0700X
CA104100000X
CA1293261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker