Provider Demographics
NPI:1699545145
Name:ARCE, ASTRID LIDIETTE (LCSW)
Entity type:Individual
Prefix:
First Name:ASTRID
Middle Name:LIDIETTE
Last Name:ARCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ASTRID
Other - Middle Name:LIDIETTE
Other - Last Name:ARCE FUENTES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:HC 6 BOX 17164
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-6311
Mailing Address - Country:US
Mailing Address - Phone:787-361-1046
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 446 KM 1.1 INT
Practice Address - Street 2:BO GUATEMALA SECTOR MARCELO PEREZ
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-361-1046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR166151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical