MEDICARE: MRS. ESTHER PINEDA LCSW

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	101YS0200X	School Counselor	LCSW-11093	AZ
2	1041C0700X	Clinical Social Worker	LCSW-11093	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962515163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ESTHER PINEDA LCSW

Provider Business Mailing Address
First Line	:	8807 S DEAN RD
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-3251
Country	:	US
Telephone Number	:	602-577-4424
Fax Number	:	623-691-6655

Provider Business Practice Location Address
First Line	:	6006 N 83RD AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85303-4119
Country	:	US
Telephone Number	:	623-772-5167
Fax Number	:	623-218-1859

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/17/2008

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