Provider Demographics
NPI:1578815379
Name:CASTANEDA, MARIA ISABEL (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ISABEL
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5435 VESPER AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3738
Mailing Address - Country:US
Mailing Address - Phone:818-267-5900
Mailing Address - Fax:818-909-7274
Practice Address - Street 1:5435 VESPER AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91411-3738
Practice Address - Country:US
Practice Address - Phone:818-267-5900
Practice Address - Fax:818-909-7274
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW28001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health