Golden State Licensed Clinical Social Worker Inc.
NPI #1457165599 in La Jolla, California
Provider Information
- NPI Number
- 1457165599
- Entity Type
- Organization
- Organization Name
- Golden State Licensed Clinical Social Worker Inc.
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 6, 2025
- Last Updated
- Feb 6, 2025
Practice Location
- Address
- 3252 HOLIDAY CT STE 102
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1807
- Phone
- (714) 222-7786
Authorized Official
- Name
- ROXANNA SHAFIZADEH, LCSW
- Title
- LICENSED CLINICAL SOCIAL WORKER
- Phone
- (714) 222-7786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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