MEDICARE: MS. CAMBRIA ROSE WALSH 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	104100000X	Social Worker	LCS22000	CA
2	1041C0700X	Clinical Social Worker	LCS 22000	CA

General Provider Information

NPI Number	:	1568596658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAMBRIA ROSE WALSH LCSW

Provider Business Mailing Address
First Line	:	6430 PANEL CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-3007
Country	:	US
Telephone Number	:	619-379-1607
Fax Number	:

Provider Business Practice Location Address
First Line	:	6430 PANEL CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-3007
Country	:	US
Telephone Number	:	619-379-1607
Fax Number	:

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	02/12/2025

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