Provider Demographics
NPI:1982899241
Name:PLASENCIA, RAQUEL LINDA I (LCSW)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:LINDA
Last Name:PLASENCIA
Suffix:I
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:PLASENCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:13428 MAXELLA AVE # 195
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5620
Mailing Address - Country:US
Mailing Address - Phone:310-435-7527
Mailing Address - Fax:
Practice Address - Street 1:13323 W WASHINGTON BLVD STE 302
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5164
Practice Address - Country:US
Practice Address - Phone:310-435-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health