Healthcare Provider Details

I. General information

NPI: 1356764153
Provider Name (Legal Business Name): BELINDA NAVARRO MSW/MPH, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2014
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 W HENDERSON AVE SUITE #2
PORTERVILLE CA
93257-1490
US

IV. Provider business mailing address

1055 W HENDERSON AVE SUITE #2
PORTERVILLE CA
93257-1490
US

V. Phone/Fax

Practice location:
  • Phone: 559-788-1200
  • Fax: 559-713-3717
Mailing address:
  • Phone: 559-788-1200
  • Fax: 559-713-3717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number23026
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: