Provider Demographics
NPI:1316838790
Name:SUNDQUIST, LAURA ANN (MSW)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:SUNDQUIST
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 LORETO GLN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-1072
Mailing Address - Country:US
Mailing Address - Phone:760-443-0920
Mailing Address - Fax:
Practice Address - Street 1:1820 LORETO GLN
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-1072
Practice Address - Country:US
Practice Address - Phone:760-443-0920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1263511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical