Healthcare Provider Details

I. General information

NPI: 1144476003
Provider Name (Legal Business Name): CAROLINA CORTEZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINA BARBOSA

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 PAJARO ST STE B
SALINAS CA
93901-3400
US

IV. Provider business mailing address

PO BOX 3222
MONTEREY CA
93942-3222
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-4522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number120919
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: