Healthcare Provider Details

I. General information

NPI: 1851825384
Provider Name (Legal Business Name): CLARE MCCLAFFERTY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15725 WHITTIER BLVD
WHITTIER CA
90603-2347
US

IV. Provider business mailing address

15725 WHITTIER BLVD
WHITTIER CA
90603-2347
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-0811
  • Fax:
Mailing address:
  • Phone: 562-698-0811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW18369
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: