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NPI Code Detail

MEDICARE: ERIC MCLAUGHLIN LCSW # 129948

MEDICARE:   ERIC  MCLAUGHLIN  LCSW # 129948
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
1104100000XSocial Worker
21041C0700XClinical Social Worker129948CA

General Provider Information

NPI Number : 1295191070
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC MCLAUGHLIN LCSW # 129948
Provider Business Mailing Address
First Line : 1900 E TAHQUITZ CANYON WAY STE B1
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7061
Country : US
Telephone Number : 323-401-3660
Fax Number : 323-932-0078
Provider Business Practice Location Address
First Line : 1900 E TAHQUITZ CANYON WAY STE B1
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7061
Country : US
Telephone Number : 323-401-3660
Fax Number : 323-932-0078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2016
Last Update Date : 04/30/2025

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