Provider Demographics
NPI:1467768341
Name:GORODNITSKI, GENG (LCSW)
Entity Type:Individual
Prefix:
First Name:GENG
Middle Name:
Last Name:GORODNITSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GENG
Other - Middle Name:
Other - Last Name:HAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASW
Mailing Address - Street 1:5330 BUFFINGTON RD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-1244
Mailing Address - Country:US
Mailing Address - Phone:714-932-7732
Mailing Address - Fax:
Practice Address - Street 1:5199 E PACIFIC COAST HWY
Practice Address - Street 2:SUITE 330N
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3309
Practice Address - Country:US
Practice Address - Phone:562-365-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor