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NPI Code Detail

MEDICARE: MRS. LANIECE P CLAUSELL LCSW

MEDICARE: MRS. LANIECE P CLAUSELL 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
1172V00000XCommunity Health Worker
21041C0700XClinical Social WorkerLCSW60082CA

General Provider Information

NPI Number : 1790052389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LANIECE P CLAUSELL LCSW
Provider Business Mailing Address
First Line : 1818 ALBION ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-2918
Country : US
Telephone Number : 615-341-4000
Fax Number :
Provider Business Practice Location Address
First Line : 5901 ENCINA RD STE A
Second Line :
City : GOLETA
State : CA
Zip : 93117-2270
Country : US
Telephone Number : 562-431-8822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2011
Last Update Date : 03/18/2025

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