Healthcare Provider Details

I. General information

NPI: 1285141796
Provider Name (Legal Business Name): LOURDES ARACELI TORRES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2018
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 N CHESTER AVE STE C
BAKERSFIELD CA
93308-1770
US

IV. Provider business mailing address

6700 AUBURN ST APT 1
BAKERSFIELD CA
93306-2844
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-1832
  • Fax:
Mailing address:
  • Phone: 661-390-2477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115358
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: