Provider Demographics
NPI:1467522359
Name:SOTO-MINDER, MARIA PATRICIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:PATRICIA
Last Name:SOTO-MINDER
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:P.O. BOX 742
Mailing Address - Street 2:370 WOODLAND VISTA
Mailing Address - City:LA HONDA
Mailing Address - State:CA
Mailing Address - Zip Code:94020
Mailing Address - Country:US
Mailing Address - Phone:650-569-3300
Mailing Address - Fax:650-747-9637
Practice Address - Street 1:80 EUREKA SQ
Practice Address - Street 2:129
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-2654
Practice Address - Country:US
Practice Address - Phone:650-569-3300
Practice Address - Fax:650-747-9637
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS141211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical