Healthcare Provider Details

I. General information

NPI: 1194396267
Provider Name (Legal Business Name): VIVIANA SCHILPP, LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 07/08/2021
Certification Date: 07/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 E CHAPMAN AVE
ORANGE CA
92866-2221
US

IV. Provider business mailing address

1440 E CHAPMAN AVE
ORANGE CA
92866-2221
US

V. Phone/Fax

Practice location:
  • Phone: 714-528-3292
  • Fax: 714-771-2693
Mailing address:
  • Phone: 714-528-3292
  • Fax: 714-771-2693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIVIANA A SCHILPP
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: L.C.S.W.
Phone: 714-528-3292