Provider Demographics
NPI:1588893846
Name:ARGUETA, GRACIELA IVETTE (LCSW)
Entity type:Individual
Prefix:
First Name:GRACIELA
Middle Name:IVETTE
Last Name:ARGUETA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GRACIELA
Other - Middle Name:IVETTE
Other - Last Name:LESLIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12669 ENCINITAS AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3635
Mailing Address - Country:US
Mailing Address - Phone:800-700-8705
Mailing Address - Fax:
Practice Address - Street 1:27201 TOURNEY RD STE 110
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1857
Practice Address - Country:US
Practice Address - Phone:800-700-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 293221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical