Provider Demographics
NPI:1609192871
Name:HURTADO, ANGEL ALCALA (MSW, ACSW)
Entity Type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:ALCALA
Last Name:HURTADO
Suffix:
Gender:M
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 60TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-4208
Mailing Address - Country:US
Mailing Address - Phone:916-479-0351
Mailing Address - Fax:
Practice Address - Street 1:4420 60TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-4208
Practice Address - Country:US
Practice Address - Phone:916-479-0351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA278471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical