Provider Demographics
NPI:1023060662
Name:CULCASI, MARIA ANTOINETTE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ANTOINETTE
Last Name:CULCASI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 16TH ST
Mailing Address - Street 2:DOWNTOWN OAKLAND CLINIC
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1205
Mailing Address - Country:US
Mailing Address - Phone:510-451-4270
Mailing Address - Fax:
Practice Address - Street 1:616 16TH ST
Practice Address - Street 2:DOWNTOWN OAKLAND CLINIC
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1205
Practice Address - Country:US
Practice Address - Phone:510-451-4270
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA228141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical