Healthcare Provider Details

I. General information

NPI: 1649855313
Provider Name (Legal Business Name): JACQUELINE STEINBERG, LCSW PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 07/12/2021
Certification Date: 07/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13743 RIVERSIDE DR ATTN: CENTER FOR POSTPARTUM HEALTH
SHERMAN OAKS CA
91423
US

IV. Provider business mailing address

13743 RIVERSIDE DR ATTN: CENTER FOR POSTPARTUM HEALTH
SHERMAN OAKS CA
91423
US

V. Phone/Fax

Practice location:
  • Phone: 323-435-6653
  • Fax:
Mailing address:
  • Phone: 323-435-6653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE STEINBERG
Title or Position: CEO
Credential: LCSW
Phone: 323-435-6653