Doctor Name: | KIMBERLY E. GLOSSBRENNER |
NPI Number: | 1033451125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 20689 |
Business Practice Address: | 25283 Cabot Rd #204 Laguna Hills, CA - 926535522 |
Business Phone Number: | 9496321119 |
Business Fax Number: | 9494520022 |
Mailing Address: | 25283 Cabot Rd, #204 LAGUNA HILLS |
State: | CA |
Postal Code: | 926535522 |
Phone Number: | 9496321119 |
Fax Number: | 9494520022 |
NPI Enumeration Date: | 03/26/2013 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 20689 |
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 |