Provider Demographics
NPI:1316103484
Name:COLEMAN, BELINDA ECHEVARRIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:ECHEVARRIA
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BELINDA
Other - Middle Name:
Other - Last Name:ECHEVARRIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:5655 SILVER CREEK VALLEY RD
Mailing Address - Street 2:711
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138-2473
Mailing Address - Country:US
Mailing Address - Phone:408-906-9987
Mailing Address - Fax:
Practice Address - Street 1:1754 EAGLEHURST DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1424
Practice Address - Country:US
Practice Address - Phone:408-906-9987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 260901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical