Provider Demographics
NPI:1275830838
Name:CARBAJAL, MARIA JOSE (MSW)
Entity Type:Individual
Prefix:MISS
First Name:MARIA JOSE
Middle Name:
Last Name:CARBAJAL
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 1:11339 DUNDARRACH LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2180
Mailing Address - Country:US
Mailing Address - Phone:704-968-4581
Mailing Address - Fax:704-980-8371
Practice Address - Street 1:11339 DUNDARRACH LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2180
Practice Address - Country:US
Practice Address - Phone:704-968-4581
Practice Address - Fax:704-980-8371
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical