Provider Demographics
NPI:1720376486
Name:CUADRA BARRETO, FLOR MARIA (MSW)
Entity Type:Individual
Prefix:
First Name:FLOR
Middle Name:MARIA
Last Name:CUADRA BARRETO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:BARRETO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1650 LAS PLUMAS AVE STE K
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-1657
Mailing Address - Country:US
Mailing Address - Phone:408-272-6744
Mailing Address - Fax:408-259-0865
Practice Address - Street 1:1650 LAS PLUMAS AVE STE K
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95133-1657
Practice Address - Country:US
Practice Address - Phone:408-272-6744
Practice Address - Fax:408-259-0865
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW649851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical