| Strength Based, A Licensed Clinical Social Worker Corporation | |
|
7855 Riverton Ave Sun Valley CA 91352-4519 | |
| (818) 645-6356 | |
| Not Available |
| Full Name | Strength Based, A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker |
| Location | 7855 Riverton Ave, Sun Valley, California |
| Authorized Official Name and Position | Lisa Pulsifer (CEO) |
| Authorized Official Contact | 6614188514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strength Based, A Licensed Clinical Social Worker Corporation 9230 La Tuna Canyon Rd Sun Valley CA 91352-2224 Ph: (818) 645-6356 | Strength Based, A Licensed Clinical Social Worker Corporation 7855 Riverton Ave Sun Valley CA 91352-4519 Ph: (818) 645-6356 |
| NPI Number | 1407438161 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 04/22/2021 |
| Certification Date | 03/11/2021 |
| Medicare PECOS PAC ID | 2769871979 |
|---|---|
| Medicare Enrollment ID | O20211109003117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407438161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine Bonete Queiroz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538569520 PECOS PAC ID: 0547631160 Enrollment ID: I20230118002555 |
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