Provider Demographics
NPI:1346582855
Name:CABRERA, MARIA-ESTELLA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA-ESTELLA
Middle Name:
Last Name:CABRERA
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 1:11013 ROME BEAUTY DR
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:93505-2341
Mailing Address - Country:US
Mailing Address - Phone:323-718-0668
Mailing Address - Fax:
Practice Address - Street 1:11013 ROME BEAUTY DR
Practice Address - Street 2:
Practice Address - City:CALIFORNIA CITY
Practice Address - State:CA
Practice Address - Zip Code:93505-2341
Practice Address - Country:US
Practice Address - Phone:323-718-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA262451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical