| Organization Name: | CLB ASSOCIATES |
| NPI Number: | 1013066489 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNN BLUMENTHAL (MANAGER) |
| Mailing Address: | 400 W 3rd St D-250 Santa Rosa |
| State: | CA US |
| Postal Code: | 954017601 |
| Phone Number: | 7075667571 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW5501 |
| 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 |