Healthcare Provider Details

I. General information

NPI: 1063589513
Provider Name (Legal Business Name): CAROLINE ATTERTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W.MISSION AVE SUITE 103 NORTH INLAND MENTAL HEALTH CENTER
ESCONDIDO CA
92025
US

IV. Provider business mailing address

125 W.MISSION AVE. SUITE 103 NORTH INLAND MENTAL HEALTH CENTER
ESCONDIDO CA
92025
US

V. Phone/Fax

Practice location:
  • Phone: 760-747-3424
  • Fax: 760-747-3435
Mailing address:
  • Phone: 760-747-3424
  • Fax: 760-747-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS27249
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: