Provider Demographics
NPI:1609454081
Name:ORMANDY, QUINSEA
Entity Type:Individual
Prefix:
First Name:QUINSEA
Middle Name:
Last Name:ORMANDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:QUINSEA
Other - Middle Name:
Other - Last Name:PRATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3043 CAPP ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-2703
Mailing Address - Country:US
Mailing Address - Phone:530-339-2131
Mailing Address - Fax:
Practice Address - Street 1:3043 CAPP ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-2703
Practice Address - Country:US
Practice Address - Phone:530-339-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1206091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical