Provider Demographics
NPI:1407298037
Name:FURTADO, NEISHA (LCSW)
Entity type:Individual
Prefix:MS
First Name:NEISHA
Middle Name:
Last Name:FURTADO
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 1:870 MISSION SIERRA CT APT 2
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-3870
Mailing Address - Country:US
Mailing Address - Phone:530-518-5625
Mailing Address - Fax:530-225-7961
Practice Address - Street 1:870 MISSION SIERRA CT APT 2
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-3870
Practice Address - Country:US
Practice Address - Phone:530-518-5625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
CA1153311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator