Provider Demographics
NPI:1386087310
Name:KALAGHAN, SALLY LYNN (LCSW)
Entity type:Individual
Prefix:MS
First Name:SALLY
Middle Name:LYNN
Last Name:KALAGHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 CHULA SENDA LN
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3548
Mailing Address - Country:US
Mailing Address - Phone:818-790-7811
Mailing Address - Fax:
Practice Address - Street 1:4228 CHULA SENDA LN
Practice Address - Street 2:
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-3548
Practice Address - Country:US
Practice Address - Phone:818-790-7811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS148091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical