Provider Demographics
NPI:1164545141
Name:STONE, ESTHER G (MS,S,W,)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:G
Last Name:STONE
Suffix:
Gender:F
Credentials:MS,S,W,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 DE SILVA ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3000
Mailing Address - Country:US
Mailing Address - Phone:415-380-8996
Mailing Address - Fax:
Practice Address - Street 1:240 TAMAL VISTA BLVD
Practice Address - Street 2:#290
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1132
Practice Address - Country:US
Practice Address - Phone:415-272-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW220381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical