Provider Demographics
NPI:1437811007
Name:SISON, CLAUDIA YVETTE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:YVETTE
Last Name:SISON
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 1:5321 DERRY AVE STE H
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-3393
Mailing Address - Country:US
Mailing Address - Phone:818-672-6970
Mailing Address - Fax:
Practice Address - Street 1:11145 TAMPA AVE STE 24A
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-2251
Practice Address - Country:US
Practice Address - Phone:818-672-6970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-11
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA971711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty