Provider Demographics
NPI:1568663201
Name:SAAVEDRA, SOCORRO ESPINOSA (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:SOCORRO
Middle Name:ESPINOSA
Last Name:SAAVEDRA
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 1:50 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-2402
Mailing Address - Country:US
Mailing Address - Phone:209-455-1604
Mailing Address - Fax:
Practice Address - Street 1:50 ALPINE DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-2402
Practice Address - Country:US
Practice Address - Phone:209-455-1604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA241431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical