Healthcare Provider Details

I. General information

NPI: 1982913059
Provider Name (Legal Business Name): ESTHER ANN CASTILLO L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2010
Last Update Date: 10/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 ALHAMBRA BLVD
SACRAMENTO CA
95816-3321
US

IV. Provider business mailing address

418 ALHAMBRA BLVD
SACRAMENTO CA
95816-3321
US

V. Phone/Fax

Practice location:
  • Phone: 916-492-2141
  • Fax:
Mailing address:
  • Phone: 916-492-2141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS8598
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: