Provider Demographics
NPI:1093050635
Name:STOWERS, LEINA RAMOS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LEINA
Middle Name:RAMOS
Last Name:STOWERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LEINA
Other - Middle Name:JOY
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4600 EL CAMINO REAL STE 204
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1328
Mailing Address - Country:US
Mailing Address - Phone:650-492-9944
Mailing Address - Fax:
Practice Address - Street 1:4600 EL CAMINO REAL STE 204
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1328
Practice Address - Country:US
Practice Address - Phone:650-492-9944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-08
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 188251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA80 0872701OtherEIN