Doctor Name: | SUSANNA M QUINTERO |
NPI Number: | 1669683249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, ACSW |
License Number: | ACSW-23286 |
Business Practice Address: | 225 S. Cabrillo Hwy, Ste. #200a Half Moon Bay, CA - 940197210 |
Business Phone Number: | 6505732099 |
Business Fax Number: | 6505732099 |
Mailing Address: | 225 S. Cabrillo Hwy, Ste. #200a, HALF MOON BAY |
State: | CA |
Postal Code: | 940197210 |
Phone Number: | 6505732099 |
Fax Number: | 6505732099 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 10/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ACSW-23286 |
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 |