Provider Demographics
NPI:1083952899
Name:DEBORAH LITBERG
Entity Type:Organization
Organization Name:DEBORAH LITBERG
Other - Org Name:KANNECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKE
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LITBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:818-262-9487
Mailing Address - Street 1:21232 CELTIC ST
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-1468
Mailing Address - Country:US
Mailing Address - Phone:818-262-9487
Mailing Address - Fax:818-341-3853
Practice Address - Street 1:15235 BURBANK BLVD
Practice Address - Street 2:SUITE A3
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-3500
Practice Address - Country:US
Practice Address - Phone:818-262-9487
Practice Address - Fax:818-341-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS25170251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health