Provider Demographics
NPI:1609450451
Name:SANCHEZ, ADRIANA (CLINICAL SOCIAL WORK)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 EUCALYPTUS AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-5554
Mailing Address - Country:US
Mailing Address - Phone:442-364-6843
Mailing Address - Fax:800-923-5872
Practice Address - Street 1:2238 EUCALYPTUS AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-5554
Practice Address - Country:US
Practice Address - Phone:442-364-6843
Practice Address - Fax:800-923-5872
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-07
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA970931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical