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General NPI Number Information
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NPI Number | 1437959608
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Entity Type | Organization
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Legal Business Name | COMMUNAL HEALING LICENSED CLINICAL SOCIAL WORKER CORPORATION
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2150 HILLHURST AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-2012
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Country | US
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Telephone | 213-207-6206
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Fax | 323-916-2634
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Provider Business Mailing Address
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Address Line | 1525 N ALVARADO ST UNIT 26057
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City | LOS ANGELES
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State | CA
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Zip | 90026-7404
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TANYX JORDAN-MADRIGAL
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Credential | LCSW
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Telephone | 213-207-6206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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