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General NPI Number Information
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NPI Number | 1144451972
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Entity Type | Individual
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Provider Name | VERONICA BINGHAM HEINZELMANN LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 11600 ELDRIDGE AVE
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City | LAKE VIEW TERRACE
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State | CA
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Zip | 91342-6506
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Country | US
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Telephone | 661-860-9635
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Fax |
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Provider Business Mailing Address
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Address Line | 1073 E SANTA CLARA ST
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City | VENTURA
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State | CA
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Zip | 93001-3034
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Country | US
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Telephone | 805-302-7209
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 25761
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 25761
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 25761
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 25761
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License Number State | CA
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