Agenjo Hohengarten, Erin
Agenjo Hohengarten, Erin is an individual health care provider with primary practice located at 2025 Soquel Ave , Santa Cruz CA 95062-1323. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Agenjo Hohengarten, Erin can be contacted via phone (831) 458-4888.Contact Information
Primary practice address
2025 Soquel Ave
Santa Cruz CA 95062-1323
Phone: (831) 458-4888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 63679 | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 63679 | California |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 63679 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 79683 | California |
Profile Details
| NPI number | 1376978791 |
|---|---|
| LBN Legal business name | Agenjo Hohengarten, Erin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2013 |
| Last updated | May 1st, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376978791 | NPPES |
| California | Other | ZZZ91892Z | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| California | Other | FHC 70042F | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| California | Other | ZZZ91891Z | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
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