Doctor Name: | MISS WHITNEY ELIZABETH ENSOM |
NPI Number: | 1487091716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ASW 62271 |
Business Practice Address: | 40 E Minarets Ave Pinedale, CA - 936501239 |
Business Phone Number: | 5594360482 |
Business Fax Number: | |
Mailing Address: | 40 E Minarets Ave, PINEDALE |
State: | CA |
Postal Code: | 936501239 |
Phone Number: | 5594360482 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2013 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ASW 62271 |
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 |