Provider Demographics
NPI:1902386436
Name:ACEVES, MINERVA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MINERVA
Middle Name:
Last Name:ACEVES
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 1:15168 OAK RANCH DR
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-9372
Mailing Address - Country:US
Mailing Address - Phone:559-331-6419
Mailing Address - Fax:
Practice Address - Street 1:1115 W CENTER AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5912
Practice Address - Country:US
Practice Address - Phone:559-331-6419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA765731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical