MEDICARE: MRS. ELIZABETH KRISTINE BRENENSTALL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS23186	CA

General Provider Information

NPI Number	:	1235339078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH KRISTINE BRENENSTALL LCSW

Provider Business Mailing Address
First Line	:	1556 S SULTANA AVE
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91761-4238
Country	:	US
Telephone Number	:	909-184-6923
Fax Number	:

Provider Business Practice Location Address
First Line	:	2990 INLAND EMPIRE BLVD
Second Line	:	SUITE 101
City	:	ONTARIO
State	:	CA
Zip	:	91764-4899
Country	:	US
Telephone Number	:	909-980-3427
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	08/04/2020

Similar Medicare Providers

1659203925 — SHALLANA MORALES
Practice Location Address:

2990 INLAND EMPIRE BLVD STE 100&101
ONTARIO, CA
91764-4899

Practice Phone: 909-295-8692
Practice Fax:

1417090481 — MATHEW L. JUDD LCSW
Practice Location Address:

2990 INLAND EMPIRE BLVD , #101
ONTARIO, CA
91764-4899

Practice Phone: 909-980-3427
Practice Fax: 909-945-3426

1568505550 — ARACELI GUTIERREZ CASTILLO
Practice Location Address:

2990 INLAND EMPIRE BLVD
ONTARIO, CA
91764-4899

Practice Phone: 909-980-3427
Practice Fax: 909-945-3426

1780719914 — MISS CINDY CAROLINA MORAN MSWI
Practice Location Address:

2990 INLAND EMPIRE BLVD , SUITE 101
ONTARIO, CA
91764-4899

Practice Phone: 909-980-3427
Practice Fax: 909-945-3426

1255467171 — PACIFIC CLINICS
Practice Location Address:

2990 INLAND EMPIRE BLVD , #101/102
ONTARIO, CA
91764-4899

Practice Phone: 909-980-3427
Practice Fax: 909-945-3426

1700061728 — MR. JONATHAN EARL JOHNSON
Practice Location Address:

2990 INLAND EMPIRE BLVD STE 101
ONTARIO, CA
91764-4899

Practice Phone: 626-254-5000
Practice Fax:

Directions to “ MRS. ELIZABETH KRISTINE BRENENSTALL LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.