David Alan Resnikoff
Social Worker, Clinical in Soquel, CA. Organization (NPI-2).
NPI number1194376830
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1194376830
- Entity type
- Organization (NPI-2)
- Legal business name
- David Alan Resnikoff
- Organization subpart
- No
- Enumeration date
- Sep 24, 2019
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Santa Cruz Clinical Social Work Service (Doing Business As)
Practice location
2901 Park Ave # B8Soquel, CA 95073-2831
Phone 831-471-5044
Mailing address
Po Box 514Santa Cruz, CA 95061-0514
Phone 831-471-5044
Authorized official
David Alan Resnikoff
Owner
8314715044
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