Provider Demographics
NPI:1104205434
Name:MCGINNIS, EMELINDA (LCSW)
Entity Type:Individual
Prefix:
First Name:EMELINDA
Middle Name:
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29950 AVENIDA JUAREZ
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-3887
Mailing Address - Country:US
Mailing Address - Phone:760-902-0844
Mailing Address - Fax:
Practice Address - Street 1:29950 AVENIDA JUAREZ
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-3887
Practice Address - Country:US
Practice Address - Phone:760-902-0844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 248751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical