Healthcare Provider Details

I. General information

NPI: 1447821954
Provider Name (Legal Business Name): CLAIRE KOBREN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 W WILLIAMS ST
LONG BEACH CA
90810-3636
US

IV. Provider business mailing address

292 KENNEBEC AVE
LONG BEACH CA
90803-5732
US

V. Phone/Fax

Practice location:
  • Phone: 562-625-3523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number99727
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number127450
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: