Healthcare Provider Details

I. General information

NPI: 1588221097
Provider Name (Legal Business Name): LAUREN WORLEY, LICENSED CLINICAL SOCIAL WORKER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 W MAGNOLIA BLVD UNIT 101
BURBANK CA
91505-3050
US

IV. Provider business mailing address

2740 W MAGNOLIA BLVD UNIT 101
BURBANK CA
91505-3050
US

V. Phone/Fax

Practice location:
  • Phone: 626-507-4466
  • Fax:
Mailing address:
  • Phone: 626-603-8765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAUREN ELIZABETH WORLEY
Title or Position: PRESIDENT
Credential:
Phone: 626-603-8765