Healthcare Provider Details

I. General information

NPI: 1154785418
Provider Name (Legal Business Name): NATANIA CIPRIANO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 DE SOTO AVE
WOODLAND HILLS CA
91367-6701
US

IV. Provider business mailing address

21020 TOPOCHICO DR
WOODLAND HILLS CA
91364-6029
US

V. Phone/Fax

Practice location:
  • Phone: 818-719-3785
  • Fax:
Mailing address:
  • Phone: 951-818-4973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW70866
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW84368
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: