Provider Demographics
NPI:1316749930
Name:PROSOCIAL WORK PSYCHOTHERAPY SERVICES P.C.
Entity type:Organization
Organization Name:PROSOCIAL WORK PSYCHOTHERAPY SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:323-205-6524
Mailing Address - Street 1:12812 SHORT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-6421
Mailing Address - Country:US
Mailing Address - Phone:323-205-6524
Mailing Address - Fax:
Practice Address - Street 1:12812 SHORT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-6421
Practice Address - Country:US
Practice Address - Phone:323-205-6524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty