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NPI Code Detail

MEDICARE: DENA WEBSTER LCSW

MEDICARE:   DENA  WEBSTER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW82684CA

General Provider Information

NPI Number : 1083018709
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENA WEBSTER LCSW
Provider Business Mailing Address
First Line : 11350 FOOTHILL BLVD UNIT 13
Second Line :
City : LAKE VIEW TERRACE
State : CA
Zip : 91342-6759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 2129
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95611-2129
Country : US
Telephone Number : 916-629-9279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2014
Last Update Date : 02/14/2025

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