Active NPI
Dora Maria Cantu, LCSW
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1174290092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 98360
- Practice address
- 550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857 - Phone
- (559) 795-5990
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 98360 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 98360 | CA |
Addresses
Primary practice location
550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857
Mailing address
4324 W Harvard Ave
Fresno, CA 93722-5183
Phone (559) 613-9017
Other practice location 1
4324 W Harvard Ave
Fresno, CA 93722-5183
Phone (559) 613-9017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98360 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1174290092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 W HARVARD AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937225183",
"telephone_number": "559-613-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W ALLUVIAL AVE STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115857",
"telephone_number": "559-795-5990"
}
],
"practiceLocations": [
{
"address_1": "4324 W Harvard Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937225183",
"country_code": "US",
"telephone_number": "559-613-9017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANTU",
"first_name": "DORA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "98360",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "98360",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.