Doctor Name: | ENAS JOSEPH |
NPI Number: | 1013059229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | LCSW20855 |
Business Practice Address: | 700 E Gilbert St San Bernardino, CA - 924151003 |
Business Phone Number: | 9093876940 |
Business Fax Number: | |
Mailing Address: | 700 E Gilbert St, SAN BERNARDINO |
State: | CA |
Postal Code: | 924151003 |
Phone Number: | 9093876940 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW20855 |
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 |