Healthcare Provider Details

I. General information

NPI: 1932484342
Provider Name (Legal Business Name): STRATAGEMA, A LICENSED CLINICAL SOCIAL WORKER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 CAMINO DEL RIO S STE 203
SAN DIEGO CA
92108-3911
US

IV. Provider business mailing address

1428 FILMORE PL
CHULA VISTA CA
91913-1820
US

V. Phone/Fax

Practice location:
  • Phone: 619-694-8994
  • Fax: 619-271-6756
Mailing address:
  • Phone: 619-694-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS22363
License Number StateCA

VIII. Authorized Official

Name: ERIC C FRANK
Title or Position: PRESIDENT
Credential: LCSW
Phone: 619-694-8994