Provider Demographics
NPI:1538283767
Name:ARENAS, CARMELITA LAGAC (SOCIAL WORKER)
Entity Type:Individual
Prefix:MISS
First Name:CARMELITA
Middle Name:LAGAC
Last Name:ARENAS
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 MENTONE AVE
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-2604
Mailing Address - Country:US
Mailing Address - Phone:805-489-3194
Mailing Address - Fax:
Practice Address - Street 1:200 S 13TH ST
Practice Address - Street 2:101
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-3302
Practice Address - Country:US
Practice Address - Phone:805-473-8760
Practice Address - Fax:805-473-3312
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker