Provider Demographics
NPI:1851445183
Name:BALDWIN, ESTER (LCSW, PHD)
Entity Type:Individual
Prefix:
First Name:ESTER
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 W YOSEMITE AVE
Mailing Address - Street 2:SIERRA BUILDING
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-5130
Mailing Address - Country:US
Mailing Address - Phone:209-858-7764
Mailing Address - Fax:209-858-7721
Practice Address - Street 1:1789 W YOSEMITE AVE
Practice Address - Street 2:SIERRA BUILDING
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-5130
Practice Address - Country:US
Practice Address - Phone:209-858-7764
Practice Address - Fax:209-858-7721
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB 37118103TC0700X
CALCS233621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical