Individual provider · Type 1 NPI
Diane Mitzenmacher, LCSW
Clinical Social Worker · Rancho Cucuamonga, CA
Practice location
8300 Utica Ave #155
Rancho Cucuamonga, CA 91730-7605
Fax (909) 285-2103
Mailing address
PO Box 938
Rancho Cucamonga, CA 91729-0938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS19655 (CA) |
| Clinical Social Worker | 1041C0700X | BCD#29518 (CA) |
| Clinical Social Worker Primary | 1041C0700X | LCSW19655 (CA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
About NPI 1649366394
Diane Mitzenmacher, LCSW's National Provider Identifier is 1649366394, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rancho Cucuamonga, CA. The record was last updated on Jun 8, 2023.