NPI 1215406301 · live from the CMS NPI Registry
Marisol Alcantara
Social Worker, Clinical in Sugarloaf, PA. National Provider Identifier 1215406301, active.
NPI record
| NPI | 1215406301 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 38 N Prospect Park Dr, Sugarloaf, PA 18249 |
| Practice phone | 718-530-8968 |
| Enumerated | November 18, 2018 |
| Last updated | December 30, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | CW023067 (PA) |
| Social Worker | 104100000X | 103020 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.