Doctor Name: | MS. RENEE VESTA BELEW |
NPI Number: | 1174605778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 23558 |
Business Practice Address: | 10605 Balboa Blvd #100 Granada Hills, CA - 913446342 |
Business Phone Number: | 8188322410 |
Business Fax Number: | 8188322409 |
Mailing Address: | 5336 1/2 Hermitage Ave, VALLEY VILLAGE |
State: | CA |
Postal Code: | 916074211 |
Phone Number: | 8188322410 |
Fax Number: | 8188322409 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 23558 |
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 |