Provider Demographics
NPI:1437713898
Name:GAINING CLARITY LICENSED CLINICAL SOCIAL WORKER CORPORATION
Entity Type:Organization
Organization Name:GAINING CLARITY LICENSED CLINICAL SOCIAL WORKER CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:714-353-8551
Mailing Address - Street 1:7883 E VIEWRIM DR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2132
Mailing Address - Country:US
Mailing Address - Phone:714-353-8551
Mailing Address - Fax:714-948-8201
Practice Address - Street 1:7883 E VIEWRIM DR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2132
Practice Address - Country:US
Practice Address - Phone:714-353-8551
Practice Address - Fax:714-948-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty