Provider Demographics
NPI:1447454756
Name:CABRERA, HECTOR ELPIDIO (LCSW)
Entity type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:ELPIDIO
Last Name:CABRERA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:CA
Mailing Address - Zip Code:93625-2338
Mailing Address - Country:US
Mailing Address - Phone:559-834-3728
Mailing Address - Fax:
Practice Address - Street 1:418 N 6TH ST
Practice Address - Street 2:
Practice Address - City:FOWLER
Practice Address - State:CA
Practice Address - Zip Code:93625-2338
Practice Address - Country:US
Practice Address - Phone:559-834-3728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS218311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical