Provider Demographics
NPI:1124269683
Name:ARANCETA, SAIOA MARIE (MSW)
Entity type:Individual
Prefix:MISS
First Name:SAIOA
Middle Name:MARIE
Last Name:ARANCETA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 1/2 N. NEIL ST.
Mailing Address - Street 2:APT. 2
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-3764
Mailing Address - Country:US
Mailing Address - Phone:616-581-0344
Mailing Address - Fax:
Practice Address - Street 1:415 1/2 N NEIL ST
Practice Address - Street 2:APT. 2
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-3764
Practice Address - Country:US
Practice Address - Phone:616-581-0344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0133871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical