Individual provider · NPI-1

Reynalda Retana Alarcon

Social Worker · San Carlos, CA

NPI number1801404264
StatusActive
Last updated in NPPESAug 17, 2026

Details

NPI
1801404264
Entity type
Individual (NPI-1)
Name
Reynalda Retana Alarcon
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 21, 2020
Certification date
Aug 17, 2026
Last updated
Aug 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker140669CAYes
172V00000X Community Health Worker––
171M00000X Case Manager/Care Coordinator–CA
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

1303 San Carlos Ave
San Carlos, CA 94070-2317

Phone 707-634-4886

Mailing address

1303 San Carlos Ave
San Carlos, CA 94070-2317

Phone 707-634-4886

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