Doctor Name: | MR. RUBEN VARGAS |
NPI Number: | 1144663006 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCS 20587 |
Business Practice Address: | 900 Third St. C/o Public Defenders Office 2nd Floor San Fernando Superior Court San Fernando, CA - 913402935 |
Business Phone Number: | 8188982490 |
Business Fax Number: | 8188982595 |
Mailing Address: | San Fernando Superior Court900 Third St., C/o Public Defenders' Office, 2nd Floor SAN FERNANDO |
State: | CA |
Postal Code: | 91340 |
Phone Number: | 8188982490 |
Fax Number: | 8188982595 |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 20587 |
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 |