Provider Demographics
NPI:1730452731
Name:ALCANTAR, VIOLET VILLALOBOS (LCSW#74695, MSW)
Entity type:Individual
Prefix:MRS
First Name:VIOLET
Middle Name:VILLALOBOS
Last Name:ALCANTAR
Suffix:
Gender:F
Credentials:LCSW#74695, MSW
Other - Prefix:
Other - First Name:VIOLET
Other - Middle Name:
Other - Last Name:VILLALOBOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, ASW
Mailing Address - Street 1:6077 COFFEE ROAD
Mailing Address - Street 2:STE 4 PMB 1026
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308
Mailing Address - Country:US
Mailing Address - Phone:657-348-6900
Mailing Address - Fax:
Practice Address - Street 1:14751 PLAZA DR STE C
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2773
Practice Address - Country:US
Practice Address - Phone:657-214-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW#746951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical