Provider Demographics
NPI:1518206598
Name:ORANTES, VIRGINIA CECIBEL (LCSW)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:CECIBEL
Last Name:ORANTES
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 1:120 N MACLAY AVE UNIT D211
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-2940
Mailing Address - Country:US
Mailing Address - Phone:818-730-0191
Mailing Address - Fax:
Practice Address - Street 1:120 N MACLAY AVE UNIT D211
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-2940
Practice Address - Country:US
Practice Address - Phone:818-730-0191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X, 390200000X, 171M00000X
CAACSW 72653101YM0800X
CALCSW947121041C0700X
CA947121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator