Provider Demographics
NPI:1487029435
Name:DE JESUS, ANA MARIA (LCSW)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:DE JESUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:MARIA
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3478 BUSKIRK AVE STE 1000
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4378
Mailing Address - Country:US
Mailing Address - Phone:925-207-1173
Mailing Address - Fax:
Practice Address - Street 1:3478 BUSKIRK AVE
Practice Address - Street 2:SUITE 1000
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4344
Practice Address - Country:US
Practice Address - Phone:925-247-8570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA718941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical