Provider Demographics
NPI:1912134099
Name:ALINAS, MARYANN ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:ANN
Last Name:ALINAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MARY ANN
Other - Middle Name:
Other - Last Name:VIRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:16782 VON KARMAN AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-9928
Mailing Address - Country:US
Mailing Address - Phone:714-873-8555
Mailing Address - Fax:949-833-2230
Practice Address - Street 1:16782 VON KARMAN AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-9928
Practice Address - Country:US
Practice Address - Phone:714-873-8555
Practice Address - Fax:949-833-2230
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS235951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical