Provider Demographics
NPI:1396143830
Name:APOLONIO, MARCOS MUNIZ (LCSW)
Entity type:Individual
Prefix:
First Name:MARCOS
Middle Name:MUNIZ
Last Name:APOLONIO
Suffix:
Gender:M
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:PO BOX 6761
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94524-1761
Mailing Address - Country:US
Mailing Address - Phone:925-421-8124
Mailing Address - Fax:
Practice Address - Street 1:759 APPIAN WAY STE 2C
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2470
Practice Address - Country:US
Practice Address - Phone:510-981-1471
Practice Address - Fax:844-630-3965
Is Sole Proprietor?:No
Enumeration Date:2014-12-16
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW817171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical