Provider Demographics
NPI:1336576032
Name:HERRERA, KOLBEY ANNE (ASW)
Entity type:Individual
Prefix:MRS
First Name:KOLBEY
Middle Name:ANNE
Last Name:HERRERA
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 SANTA RITA GRADE
Mailing Address - Street 2:
Mailing Address - City:DOS PALOS
Mailing Address - State:CA
Mailing Address - Zip Code:93620-9757
Mailing Address - Country:US
Mailing Address - Phone:209-704-4142
Mailing Address - Fax:
Practice Address - Street 1:2831 G ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-2133
Practice Address - Country:US
Practice Address - Phone:209-722-0202
Practice Address - Fax:209-385-9921
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical