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Provider Information for 1588938641


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Ms. ELIZABETH RENTERIA LCSW


Sex: Female

NPI: 1588938641
Last Updated: 2021-08-04
Certification Date: 2021-08-04

Details

NameValue
NPI1588938641
Enumeration Date2012-03-06
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 11039 ABBOTSFORD RD
WHITTIER, CA 90606-3202
United States

Phone: 541-610-2549 | Fax:
 
Primary Practice Address 11039 ABBOTSFORD RD
WHITTIER, CA 90606-3202
United States

Phone: 541-610-2549 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalCA22752
No 1041C0700X - Social Worker - ClinicalORL5306
Yes 1041C0700X - Social Worker - ClinicalCALCs 22752