Provider Demographics
NPI:1568971976
Name:SUAREZ, DAISY MICHELLE (LCSW)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:MICHELLE
Last Name:SUAREZ
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 1:1535 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2099
Mailing Address - Country:US
Mailing Address - Phone:760-291-4027
Mailing Address - Fax:760-489-4129
Practice Address - Street 1:1535 N BROADWAY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2099
Practice Address - Country:US
Practice Address - Phone:760-291-4027
Practice Address - Fax:760-489-4129
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1258161041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool