Doctor Name: | FRANK NIETO |
NPI Number: | 1144439746 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | LCS6919 |
Business Practice Address: | 3294 Royal Dr Suite 13 Cameron Park, CA - 956828534 |
Business Phone Number: | 5306774404 |
Business Fax Number: | |
Mailing Address: | 8813 Roundtable Ct, FAIR OAKS |
State: | CA |
Postal Code: | 956286430 |
Phone Number: | 9169677255 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS6919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |