Provider Demographics
NPI:1942332275
Name:CASTELLANO, LORETTA A (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:A
Last Name:CASTELLANO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 BYRON ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-3306
Mailing Address - Country:US
Mailing Address - Phone:650-326-8589
Mailing Address - Fax:650-326-1636
Practice Address - Street 1:1220 UNIVERSITY DR
Practice Address - Street 2:SUITE 194
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025
Practice Address - Country:US
Practice Address - Phone:650-324-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS147141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical