Provider Demographics
NPI:1346451820
Name:ESPINOSA, RAQUEL G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RAQUEL
Middle Name:G
Last Name:ESPINOSA
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 1:1834 HOWARD RD STE H
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5159
Mailing Address - Country:US
Mailing Address - Phone:559-675-8187
Mailing Address - Fax:559-675-8187
Practice Address - Street 1:1834 HOWARD RD STE H
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5159
Practice Address - Country:US
Practice Address - Phone:559-675-8187
Practice Address - Fax:559-675-8187
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 139121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical