Provider Demographics
NPI:1124170253
Name:BARBARA VANFELIX LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORA
Entity type:Organization
Organization Name:BARBARA VANFELIX LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANFELIX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:530-887-8455
Mailing Address - Street 1:1230 HIGH STREET
Mailing Address - Street 2:SUITE 223
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603
Mailing Address - Country:US
Mailing Address - Phone:530-887-8455
Mailing Address - Fax:530-887-8455
Practice Address - Street 1:1230 HIGH STREET
Practice Address - Street 2:SUITE 223
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603
Practice Address - Country:US
Practice Address - Phone:530-887-8455
Practice Address - Fax:530-887-8455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS114931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty