Brenda Carrasco, LCSW120062
Social Worker, Clinical in San Carlos, CA. Individual provider (NPI-1).
NPI number1942689823
StatusActive
Last updated in NPPESFeb 27, 2025
Details
- NPI
- 1942689823
- Entity type
- Individual (NPI-1)
- Name
- Brenda Carrasco
- Credential
- LCSW120062
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2015
- Certification date
- Feb 27, 2025
- Last updated
- Feb 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW120062 | CA | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Brenda Carrasco Haro (Former Name)
Practice location
1303 San Carlos AveSan Carlos, CA 94070-2317
Phone 650-740-1953
Mailing address
1303 San Carlos AveSan Carlos, CA 94070-2317
Phone 650-740-1953
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