Provider Demographics
NPI:1497894778
Name:CABRERO, CARMEN G (SOCIAL WORKER LCSW)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:G
Last Name:CABRERO
Suffix:
Gender:F
Credentials:SOCIAL WORKER LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8833 PERIMETER PARK BLVD
Mailing Address - Street 2:STE 503
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1110
Mailing Address - Country:US
Mailing Address - Phone:804-998-9442
Mailing Address - Fax:904-998-9390
Practice Address - Street 1:8833 PERIMETER PARK BLVD
Practice Address - Street 2:STE 503
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1110
Practice Address - Country:US
Practice Address - Phone:804-998-9442
Practice Address - Fax:904-998-9390
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW93104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker