Doctor Name: | MS. MARCI BETH EISENBERG |
NPI Number: | 1003992504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS19988 |
Business Practice Address: | 125 W Mission Ave Ste 103 Escondido, CA - 920251721 |
Business Phone Number: | 7607473424 |
Business Fax Number: | |
Mailing Address: | Po Box 766, VALLEY CENTER |
State: | CA |
Postal Code: | 920820766 |
Phone Number: | 7607473424 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 08/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS19988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |