Provider Demographics
NPI:1275702359
Name:MAY, ARACEL N/A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ARACEL
Middle Name:N/A
Last Name:MAY
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 1:3324 STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-1255
Mailing Address - Country:US
Mailing Address - Phone:818-935-4139
Mailing Address - Fax:818-827-4752
Practice Address - Street 1:3324 STEVENS ST
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-1255
Practice Address - Country:US
Practice Address - Phone:818-935-4139
Practice Address - Fax:818-827-4752
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 241181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPD1951OtherSTATEDEPT. DEV. SERVICES