Provider Demographics
NPI:1386790780
Name:PADILLA-CASTRO, MARIA SIMI (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:SIMI
Last Name:PADILLA-CASTRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 WATT AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-6200
Mailing Address - Country:US
Mailing Address - Phone:916-979-3514
Mailing Address - Fax:916-979-3502
Practice Address - Street 1:2829 WATT AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-6200
Practice Address - Country:US
Practice Address - Phone:916-979-3514
Practice Address - Fax:916-979-3502
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS192181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1386790780OtherNPI