Mary Lou Gottlieb is a Clinical in Van Nuys, California. Mary Lou Gottlieb practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Lou Gottlieb is 1790814580. The last update date is 2016-07-11.
Mary Lou Gottlieb's current location address is 16360 Roscoe Blvd, Van Nuys, California. You can contact this provider via phone number 8189014830. The mailing address for Mary Lou Gottlieb is 16360 Roscoe Blvd, Van Nuys, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lou Gottlieb |
|---|---|
| Address | 16360 Roscoe Blvd, Van Nuys, California |
| Phone Number | 8189014830 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790814580 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2016-07-11 |
Provider Mailing Address Detail
| Address | 16360 Roscoe Blvd |
|---|---|
| City | Van Nuys |
| State | California (CA) |
| Post Code | 914061219 |
| Phone Number | 8189014830 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS7439 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCS7439 | CA | SOCIAL WORK |
Post Comment/ Review Below
What is the Mary Lou Gottlieb's 1790814580?
The Mary Lou Gottlieb's NPI (National Provider Identifier) Number is 1790814580. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Lou Gottlieb is physically located?
The Mary Lou Gottlieb is physically situated at the following address: 16360 Roscoe Blvd, Van Nuys, CA, 914061219.
What is Mary Lou Gottlieb's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Lou Gottlieb is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Mary Lou Gottlieb receive the assignment of its 1790814580 from the Centers for Medicare & Medicaid Services?
The Mary Lou Gottlieb was issued its 1790814580 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information pertaining to Mary Lou Gottlieb most recently updated or revised?
The details related to Mary Lou Gottlieb, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-11.
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