Healthcare Provider Details

I. General information

NPI: 1871830364
Provider Name (Legal Business Name): SVETLANA M ESQUIVEL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2013
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 PRICE AVE
REDWOOD CITY CA
94063-1463
US

IV. Provider business mailing address

609 PRICE AVE
REDWOOD CITY CA
94063-1463
US

V. Phone/Fax

Practice location:
  • Phone: 415-728-2572
  • Fax:
Mailing address:
  • Phone: 415-728-2572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: