Healthcare Provider Details

I. General information

NPI: 1912594730
Provider Name (Legal Business Name): NANCY DUTTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 NANDINA PL
OXNARD CA
93036-1967
US

IV. Provider business mailing address

760 NANDINA PL
OXNARD CA
93036-1967
US

V. Phone/Fax

Practice location:
  • Phone: 661-904-4511
  • Fax:
Mailing address:
  • Phone: 661-904-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number96474
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: