MEDICARE: MRS. DIANE CAROL NAVARRO-PRESCOTT 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	97958	CA

General Provider Information

NPI Number	:	1780176537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANE CAROL NAVARRO-PRESCOTT LCSW

Provider Business Mailing Address
First Line	:	PO BOX 874
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92836-0874
Country	:	US
Telephone Number	:	714-494-6757
Fax Number	:

Provider Business Practice Location Address
First Line	:	3069 SACRAMENTO ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2016
Country	:	US
Telephone Number	:	714-494-6757
Fax Number	:

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

Provider Enumeration Date	:	06/06/2018
Last Update Date	:	10/18/2022

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