NPI Code Details Logo

NPI 1407333057

NPI 1407333057 : DEBORAH MENET LCSW : PALO ALTO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407333057
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DEBORAH MENET LCSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/26/2018
-----------------------------------------------------
    Last Update Date     |    03/18/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    725 WELCH ROAD 
-----------------------------------------------------
    City                 |    PALO ALTO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94304
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-229-8459
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    700 EL CAMINO REAL STE 120 
-----------------------------------------------------
    City                 |    MENLO PARK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94025-4884
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-229-8459
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    24475
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.