| Doctor Name: | MARIA LUISA MAGALLANES |
| NPI Number: | 1083876635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | ASW 16960 |
| Business Practice Address: | 610 Elm St Ste 212 San Carlos, CA - 940703070 |
| Business Phone Number: | 6505919623 |
| Business Fax Number: | 6505919750 |
| Mailing Address: | 610 Elm St Ste 212, SAN CARLOS |
| State: | CA |
| Postal Code: | 940703070 |
| Phone Number: | 6505919623 |
| Fax Number: | 6505919750 |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | ASW 16960 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |