Provider Demographics
NPI:1942637699
Name:ESCOBAR CORREA, ADRIANA GUADALUPE (LCSW)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:GUADALUPE
Last Name:ESCOBAR CORREA
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 1:22320 FOOTHILL BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2719
Mailing Address - Country:US
Mailing Address - Phone:510-893-9230
Mailing Address - Fax:
Practice Address - Street 1:22320 FOOTHILL BLVD STE 400
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2719
Practice Address - Country:US
Practice Address - Phone:510-893-9230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program