Provider Demographics
NPI:1205998333
Name:SARTE, MARIE LOURDES (MA IN SOCIAL WORK)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:LOURDES
Last Name:SARTE
Suffix:
Gender:F
Credentials:MA IN SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 8TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-6527
Mailing Address - Country:US
Mailing Address - Phone:510-869-7207
Mailing Address - Fax:510-839-4723
Practice Address - Street 1:310 8TH ST STE 201
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-6527
Practice Address - Country:US
Practice Address - Phone:510-869-7207
Practice Address - Fax:510-839-4723
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 239121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5711OtherSTAFF ID NUMBER