1952421513 NPI number — MS. CAROL REGENE SARAGOSSI LCSW

Table of content: KINSLEY FITZPATRICK DPT (NPI 1942841853)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952421513 NPI number — MS. CAROL REGENE SARAGOSSI LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARAGOSSI
Provider First Name:
CAROL
Provider Middle Name:
REGENE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952421513
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17339 HALSTED ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHRIDGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91325-2020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-885-1790
Provider Business Mailing Address Fax Number:
818-885-0319

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6651 BALBOA BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VAN NUYS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91406-5529
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-997-2640
Provider Business Practice Location Address Fax Number:
818-996-9850
Provider Enumeration Date:
03/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCS 20415 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: LCS20415 . This is a "LICENSED CLINICAL S.W." identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: LCS20415 . This is a "SCHOOL SOCIAL WORKER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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