Healthcare Provider Details

I. General information

NPI: 1356617237
Provider Name (Legal Business Name): DANIELLE SUZANNE ESQUIVEL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11929 GREENBLUFF WAY
YUCAIPA CA
92399-3477
US

IV. Provider business mailing address

333 S FARRELL DR
PALM SPRINGS CA
92262-7905
US

V. Phone/Fax

Practice location:
  • Phone: 909-557-4597
  • Fax:
Mailing address:
  • Phone: 760-416-1360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27507
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: