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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMALIA MAYA LASTRA

Active

AMALIA MAYA LASTRA is a Clinical Social Worker healthcare provider located in MODESTO, California. NPI 1871001024 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MODESTO, CA

Registration Details

NPI Number
1871001024
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2018 (8.5417077652503 yrs)
Last Updated
Feb 3, 2022
Licenses
101067 (CA)
ASW76891 (CA)
ASW76891 (CA)

Practice Information

Address
800 SCENIC DR
MODESTO, CA, 953506131
Browse CA providers · Browse ZIP 95350
Phone
2096055543
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Social Worker
Additional Specialty
Professional Counselor

Other Clinical Social Worker Providers in MODESTO, CA

Name Credential NPI
MR. WILLIAM LEON BODDIE II L.C.S.W 1003842311
MRS. KATHERINE MARY SCHOLTEN LMSW 1952334880
MS. CYNTHIA SUZANNE CHAPA LCSW 1578585782
PAUL SAMUEL CRENSHAW LCSW 1033125059
MR. DANIEL J. BRUCE L.C.S.W. 1891889366
JIMMY DEAN VAN TASSEL LCSW 1699831214
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.