Provider Demographics
NPI:1568406775
Name:PEUSE, MARIA T (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:T
Last Name:PEUSE
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 1:900 LAFAYETTE ST
Mailing Address - Street 2:605
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4934
Mailing Address - Country:US
Mailing Address - Phone:650-369-1437
Mailing Address - Fax:650-369-2960
Practice Address - Street 1:900 LAFAYETTE ST
Practice Address - Street 2:605
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4967
Practice Address - Country:US
Practice Address - Phone:659-369-4637
Practice Address - Fax:650-369-2960
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS144831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical