Healthcare Provider Details

I. General information

NPI: 1669159083
Provider Name (Legal Business Name): EMILY CORTEZ-BENITEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2531 W WOODLAND DR
ANAHEIM CA
92801-2637
US

IV. Provider business mailing address

3306 YORBA LINDA BLVD # 306
FULLERTON CA
92831-1709
US

V. Phone/Fax

Practice location:
  • Phone: 714-226-9888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: