Provider Demographics
NPI:1407360563
Name:BELFORD, EMILY RUTH (LCSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:RUTH
Last Name:BELFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:RUTH
Other - Last Name:BELSHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5904 WARNER AVE UNIT 458
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-4670
Mailing Address - Country:US
Mailing Address - Phone:714-902-9272
Mailing Address - Fax:
Practice Address - Street 1:5904 WARNER AVE UNIT 458
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-4670
Practice Address - Country:US
Practice Address - Phone:714-902-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA960091041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical