Provider Demographics
NPI:1811227697
Name:HERNANDEZ ARRIAGA, BELINDA MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:MARIE
Last Name:HERNANDEZ ARRIAGA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2454
Mailing Address - Street 2:
Mailing Address - City:EL GRANADA
Mailing Address - State:CA
Mailing Address - Zip Code:94018-2454
Mailing Address - Country:US
Mailing Address - Phone:408-393-8345
Mailing Address - Fax:
Practice Address - Street 1:625 MIRAMONTES ST STE 202
Practice Address - Street 2:
Practice Address - City:HALF MOON BAY
Practice Address - State:CA
Practice Address - Zip Code:94019-1942
Practice Address - Country:US
Practice Address - Phone:408-393-8345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical