Provider Demographics
NPI:1639723703
Name:LA TORRE, JOANNA (MSW)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:LA TORRE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:HURLBUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4255 HOWE ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4704
Mailing Address - Country:US
Mailing Address - Phone:650-400-1675
Mailing Address - Fax:
Practice Address - Street 1:4255 HOWE ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4704
Practice Address - Country:US
Practice Address - Phone:650-400-1675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-27
Last Update Date:2019-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical