MEDICARE: MONICA TORRES PPSC, CWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	ASW133161	CA
2	101YM0800X	Mental Health Counselor	ASW133161	CA
3	1041C0700X	Clinical Social Worker	ASW133161	CA
4	171M00000X	Case Manager/Care Coordinator	ASW133161	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	133161	OTHER	CA	ASW

General Provider Information

NPI Number	:	1134504897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA TORRES PPSC, CWA

Provider Business Mailing Address
First Line	:	393 BLOSSOM HILL RD STE 110
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95123-1653
Country	:	US
Telephone Number	:	408-629-9802
Fax Number	:	408-629-9808

Provider Business Practice Location Address
First Line	:	393 BLOSSOM HILL RD STE 110
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95123-1653
Country	:	US
Telephone Number	:	408-629-9802
Fax Number	:	408-629-9808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2015
Last Update Date	:	06/25/2026

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