Orphanos, Maureen Costello
Orphanos, Maureen Costello is an individual health care provider with primary practice located at 39155 Liberty St Ste G710 , Fremont CA 94538-1525. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Orphanos, Maureen Costello can be contacted via phone (510) 795-2434.Contact Information
Primary practice address
39155 Liberty St Ste G710
Fremont CA 94538-1525
Phone: (510) 795-2434
Fax: (510) 793-3972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS18754 | California |
Profile Details
| NPI number | 1437287646 |
|---|---|
| LBN Legal business name | Orphanos, Maureen Costello |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 22nd, 2019 - about 7 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437287646 | NPPES |
| California | Other | LCS18754 | SOCIAL WORK LISCENSE |
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