Healthcare Provider Details

I. General information

NPI: 1265781371
Provider Name (Legal Business Name): ESMERALDA NUNEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR STE C
OXNARD CA
93036-2612
US

IV. Provider business mailing address

414 E COTA ST
SANTA BARBARA CA
93101-1624
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-8480
  • Fax:
Mailing address:
  • Phone: 805-617-7858
  • Fax: 805-963-8880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number69885
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number33727
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: