Provider Demographics
NPI:1346330875
Name:HINZ, PAULA L (MSW, MSG, LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:L
Last Name:HINZ
Suffix:
Gender:F
Credentials:MSW, MSG, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15720 VENTURA BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2914
Mailing Address - Country:US
Mailing Address - Phone:310-749-9907
Mailing Address - Fax:818-276-8431
Practice Address - Street 1:15720 VENTURA BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2914
Practice Address - Country:US
Practice Address - Phone:310-749-9907
Practice Address - Fax:818-276-8431
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 178651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56-2558511OtherEMPLOYER I.D. NUMBER