Provider Demographics
NPI:1932524360
Name:DACANAY, FELIPA ALCOREZA (MSED, MSW, LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:FELIPA
Middle Name:ALCOREZA
Last Name:DACANAY
Suffix:
Gender:F
Credentials:MSED, MSW, LISW-S
Other - Prefix:MRS
Other - First Name:EPPIE
Other - Middle Name:ROSCA
Other - Last Name:DACANAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED, MSW, LISW-S
Mailing Address - Street 1:338 S DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:VANDENBERG AFB
Mailing Address - State:CA
Mailing Address - Zip Code:93437-6307
Mailing Address - Country:US
Mailing Address - Phone:805-606-8217
Mailing Address - Fax:805-606-4390
Practice Address - Street 1:338 S DAKOTA AVE
Practice Address - Street 2:
Practice Address - City:VANDENBERG AFB
Practice Address - State:CA
Practice Address - Zip Code:93437
Practice Address - Country:US
Practice Address - Phone:805-606-8217
Practice Address - Fax:805-606-4390
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00034401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical