Provider Demographics
NPI:1912566357
Name:ARGUETA, SOPHIA CIPRIANA (MSW)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:CIPRIANA
Last Name:ARGUETA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SOPHIA
Other - Middle Name:CIPRIANA
Other - Last Name:ARGUETA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SOPHIA ARGUETA
Mailing Address - Street 1:1146 GILMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-3623
Mailing Address - Country:US
Mailing Address - Phone:415-571-1781
Mailing Address - Fax:
Practice Address - Street 1:1146 GILMAN AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-3623
Practice Address - Country:US
Practice Address - Phone:415-571-1781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
CA1031251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1912566357Medicaid