Provider Demographics
NPI:1427530195
Name:WINSLOW, DANETTE JACQUELINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DANETTE
Middle Name:JACQUELINE
Last Name:WINSLOW
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 1:13919 ARTHUR AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-6001
Mailing Address - Country:US
Mailing Address - Phone:323-333-4759
Mailing Address - Fax:
Practice Address - Street 1:13919 ARTHUR AVE APT 9
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-6001
Practice Address - Country:US
Practice Address - Phone:323-333-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA817771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty