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1861749434 NPI number — CASSANDRA A AMEZQUITA MSW, ASW

NPI Number: 1861749434
Health Care Provider/Practitioner: CASSANDRA A AMEZQUITA MSW, ASW

Information about “1861749434” NPI (CASSANDRA A AMEZQUITA MSW, ASW) exists in 1861749434 in HTML format HTML  |  1861749434 in plain Text format TXT  |  1861749434 in PDF (Portable Document Format) PDF  |  1861749434 in an XML format XML  formats.

NPI Number : 1861749434 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861749434",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMEZQUITA",
    "FirstName": "CASSANDRA",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, ASW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ARELLANO",
    "OtherFirstName": "CASSANDRA",
    "OtherMiddleName": "G",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "BASW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8945 GOLF LINKS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94605-4124",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-317-1444",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "485 N 1ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN JOSE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95112-4067",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-554-2550",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2012",
    "LastUpdateDate": "07/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "ASW130286",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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