Benavidez, Laura Magdalena

Benavidez, Laura Magdalena is an individual health care provider with primary practice located at 3230 Kerner Blvd , San Rafael CA 94901-4840. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Benavidez, Laura Magdalena can be contacted via phone (415) 720-3845.

Contact Information

Primary practice address
3230 Kerner Blvd San Rafael CA 94901-4840
Phone: (415) 720-3845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW90472 California
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW90472 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 129487 California

Profile Details

NPI number 1316425861
LBN Legal business name Benavidez, Laura Magdalena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2018
Last updated Apr 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316425861 NPPES
California MEDICAID 1316425861

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