Provider Demographics
NPI:1235701574
Name:ESCOBAR, SILVIA CAROLINA (LCSW)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:CAROLINA
Last Name:ESCOBAR
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:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-0883
Mailing Address - Country:US
Mailing Address - Phone:323-365-0235
Mailing Address - Fax:
Practice Address - Street 1:8942 CLARINDA AVE
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-5707
Practice Address - Country:US
Practice Address - Phone:323-365-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-15
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA870541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical