Provider Demographics
NPI:1598998809
Name:BRINKERHOFF, MAUREEN BEETON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:BEETON
Last Name:BRINKERHOFF
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 1:26362 CARMEL RANCHO LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8854
Mailing Address - Country:US
Mailing Address - Phone:831-392-7923
Mailing Address - Fax:
Practice Address - Street 1:26362 CARMEL RANCHO LN
Practice Address - Street 2:SUITE 202
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8854
Practice Address - Country:US
Practice Address - Phone:831-392-7923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26124 LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA26124OtherBOARD OF BEHAVIORAL SCIENCES LICENSE LCSW