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NPI Code Detail

MEDICARE: MS. HEATHER PAXTON LCSW

MEDICARE: MS. HEATHER PAXTON 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
1101YA0400XAddiction (Substance Use Disorder) Counselor177538IVCA
21041C0700XClinical Social WorkerASW108926CA
31041C0700XClinical Social Worker128242CA

General Provider Information

NPI Number : 1649628884
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER PAXTON LCSW
Provider Business Mailing Address
First Line : 221 SAINT CRISPEN AVE
Second Line :
City : BREA
State : CA
Zip : 92821-4033
Country : US
Telephone Number : 714-272-7969
Fax Number :
Provider Business Practice Location Address
First Line : 39159 PASEO PADRE PKWY STE 121
Second Line :
City : FREMONT
State : CA
Zip : 94538-1600
Country : US
Telephone Number : 510-952-1190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2016
Last Update Date : 01/22/2025

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Directions to “ MS. HEATHER PAXTON LCSW” Practice Location

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