Doctor Name: | MS. PHYLLIS RAE NORIEGA |
NPI Number: | 1063593663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS 14461 |
Business Practice Address: | 10355 Slusher Dr Santa Fe Springs, CA - 906707353 |
Business Phone Number: | 5629035269 |
Business Fax Number: | 5629442316 |
Mailing Address: | 12405 Loraine Ave, CHINO |
State: | CA |
Postal Code: | 917102211 |
Phone Number: | 9097621296 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 14461 |
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 |