Provider Demographics
NPI:1396978052
Name:CARRET, DENISE ELISABETH (CADC II)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ELISABETH
Last Name:CARRET
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 POLK ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3333
Mailing Address - Country:US
Mailing Address - Phone:415-202-2814
Mailing Address - Fax:415-924-6837
Practice Address - Street 1:555 POLK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-202-2814
Practice Address - Fax:415-924-6837
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker