MEDICARE: CATHERINE HEYMSFELD LCSW AND THE SEEDS OF POSITIVITY, PROF CORP

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	LCS20801	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LCS20801	OTHER	CA	LICENSE NUMBER

General Provider Information

NPI Number	:	1437382744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE HEYMSFELD LCSW AND THE SEEDS OF POSITIVITY, PROF CORP

Provider Business Mailing Address
First Line	:	18351 BEACH BLVD STE F
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1347
Country	:	US
Telephone Number	:	714-847-8417
Fax Number	:

Provider Business Practice Location Address
First Line	:	18351 BEACH BLVD STE F
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1347
Country	:	US
Telephone Number	:	714-847-8417
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CATHERINE HEYMSFELD
Credential	:	LCSW
Telephone Number	:	714-847-8417

Provider Enumeration Date	:	09/02/2009
Last Update Date	:	09/02/2009

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