Provider Demographics
NPI:1265670533
Name:ARIAS, GERRI LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:GERRI
Middle Name:LYNN
Last Name:ARIAS
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 1:24800 CHRISANTA DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-4833
Mailing Address - Country:US
Mailing Address - Phone:714-264-5999
Mailing Address - Fax:949-707-5314
Practice Address - Street 1:24800 CHRISANTA DR
Practice Address - Street 2:SUITE 220
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-4833
Practice Address - Country:US
Practice Address - Phone:714-264-5999
Practice Address - Fax:949-707-5314
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-25
Last Update Date:2009-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 248141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical