Provider Demographics
NPI:1790008084
Name:SCHENK, ANA MARIA
Entity Type:Individual
Prefix:MISS
First Name:ANA
Middle Name:MARIA
Last Name:SCHENK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 CENTRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2279
Mailing Address - Country:US
Mailing Address - Phone:925-634-4445
Mailing Address - Fax:925-634-6235
Practice Address - Street 1:1191 CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2279
Practice Address - Country:US
Practice Address - Phone:925-634-4445
Practice Address - Fax:925-634-6235
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker