Provider Demographics
NPI:1548816200
Name:ONSTOTT, MARIBEL DELGADO
Entity type:Individual
Prefix:
First Name:MARIBEL
Middle Name:DELGADO
Last Name:ONSTOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30534 IRON BARK CT
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3813
Mailing Address - Country:US
Mailing Address - Phone:760-270-4889
Mailing Address - Fax:
Practice Address - Street 1:30534 IRON BARK CT
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3813
Practice Address - Country:US
Practice Address - Phone:760-270-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW837021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical