| Doctor Name: | SVITLANA ANISHCHENKO |
| NPI Number: | 1093976128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 26268 |
| Business Practice Address: | 10605 Balboa Blvd # 100 Granada Hills, CA - 913446342 |
| Business Phone Number: | 8188322410 |
| Business Fax Number: | 8188322409 |
| Mailing Address: | 7519 Calvin Ave, RESEDA |
| State: | CA |
| Postal Code: | 913352461 |
| Phone Number: | 8184268079 |
| Fax Number: | 8187751174 |
| NPI Enumeration Date: | 06/20/2008 |
| NPI Last Update Date: | 06/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 26268 |
| 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 |