1548497464 NPI number — MARIA ZAVALA CAMARENA LCSW

Table of content: MARIA ZAVALA CAMARENA LCSW (NPI 1548497464)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548497464 NPI number — MARIA ZAVALA CAMARENA LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMARENA
Provider First Name:
MARIA
Provider Middle Name:
ZAVALA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZAVALA
Provider Other First Name:
MARIA
Provider Other Middle Name:
GUADALUPE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1548497464
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2501 TRAVIS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75072-3010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-232-5209
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 G ST STE 125
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95814-0894
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-917-1396
Provider Business Practice Location Address Fax Number:
626-919-0731
Provider Enumeration Date:
06/18/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 85212 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)