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NPI Code Detail

MEDICARE: ERIN LYNN OGDEN ASW

MEDICARE: ERIN LYNN OGDEN ASW
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
11041C0700XClinical Social Worker124110CA
2171M00000XCase Manager/Care Coordinator
3101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1639738628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LYNN OGDEN ASW
Provider Business Mailing Address
First Line : 2101 MAGNOLIA AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-4521
Country : US
Telephone Number : 562-428-4111
Fax Number :
Provider Business Practice Location Address
First Line : 5190 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-6510
Country : US
Telephone Number : 562-428-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2019
Last Update Date : 03/05/2026

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