Individual
BRENDA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW120062
Contact information
Practice address
1303 SAN CARLOS AVE, SAN CARLOS, CA 94070-2317
(650) 740-1953
Mailing address
1303 SAN CARLOS AVE, SAN CARLOS, CA 94070-2317
(650) 740-1953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW120062
CA
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2015
Last updated
02/27/2025
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