Provider Demographics
NPI:1942635552
Name:SPAGNOLETTO, ELIANE OLIVEIRA (MSW, ACSW)
Entity Type:Individual
Prefix:MRS
First Name:ELIANE
Middle Name:OLIVEIRA
Last Name:SPAGNOLETTO
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 S SHERBOURNE DR APT 308
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2145
Mailing Address - Country:US
Mailing Address - Phone:805-410-3181
Mailing Address - Fax:
Practice Address - Street 1:1060 S SHERBOURNE DR APT 308
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2145
Practice Address - Country:US
Practice Address - Phone:805-410-3181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA995501041C0700X
CAASW73281104100000X
390200000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program