Organization Name: | COMMUNITY CARE CONSULTANTS |
NPI Number: | 1043552250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENN HICKS (DIRECTOR) |
Mailing Address: | 14401 Hartsook #315 Sherman Oaks |
State: | CA US |
Postal Code: | 91423 |
Phone Number: | 8187888667 |
Fax Number: | |
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: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |