Central Counseling Services Licensed Clinical Social Worker INC
Social Worker, Clinical in Riverside, CA. Organization (NPI-2).
NPI number1043704331
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1043704331
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Counseling Services Licensed Clinical Social Worker INC
- Organization subpart
- Yes
- Enumeration date
- Jun 19, 2018
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 26872 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | 37209 | CA |
Other names
- Central Counseling Services (Former Legal Business Name)
Practice location
6840 Indiana Ave Ste 275Riverside, CA 92506-4279
Phone 951-778-0230
Mailing address
6840 Indiana Ave Ste 275Riverside, CA 92506-4279
Phone 951-778-0230
Other practice locations
29970 Technology Dr Ste 116
Murrieta, CA 92563-2647
Murrieta, CA 92563-2647
Phone 951-778-0230
Authorized official
Sheralyn L. Shockey-Pope
Chief Operation Officer
9517780230
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