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NPI Code Detail

MEDICARE: REGINA ANNE HEARN LCSW

MEDICARE:   REGINA ANNE HEARN  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 Worker26806CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447337589
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA ANNE HEARN LCSW
Provider Business Mailing Address
First Line : 23501 CINEMA DR STE 210
Second Line :
City : VALENCIA
State : CA
Zip : 91355-5430
Country : US
Telephone Number : 661-288-4804
Fax Number : 661-254-3094
Provider Business Practice Location Address
First Line : 23501 CINEMA DR STE 210
Second Line :
City : VALENCIA
State : CA
Zip : 91355-5430
Country : US
Telephone Number : 661-288-4804
Fax Number : 661-254-3094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/14/2011

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Directions to “ REGINA ANNE HEARN LCSW” Practice Location

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