Healthcare Provider Details

I. General information

NPI: 1295805059
Provider Name (Legal Business Name): ELLEN ZURAVEL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1756 ERRINGER RD STE 106
SIMI VALLEY CA
93065-3560
US

IV. Provider business mailing address

4864 COCHRAN ST UNIT 305
SIMI VALLEY CA
93063-3151
US

V. Phone/Fax

Practice location:
  • Phone: 661-878-1712
  • Fax:
Mailing address:
  • Phone: 661-878-1712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS13753
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: