Provider Demographics
NPI:1144414236
Name:ENGINEER, MARISHA (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARISHA
Middle Name:
Last Name:ENGINEER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4516 EL CAJON AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-5541
Mailing Address - Country:US
Mailing Address - Phone:510-593-4683
Mailing Address - Fax:
Practice Address - Street 1:3300 CAPITOL AVENUE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94537-5006
Practice Address - Country:US
Practice Address - Phone:510-574-2046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker