Provider Demographics
NPI:1518178664
Name:LONNER, RENEE BURNS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:BURNS
Last Name:LONNER
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 1:5506 RANCHITO AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5805
Mailing Address - Country:US
Mailing Address - Phone:818-988-7487
Mailing Address - Fax:818-787-7676
Practice Address - Street 1:5506 RANCHITO AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91401-5805
Practice Address - Country:US
Practice Address - Phone:818-988-7487
Practice Address - Fax:818-787-7676
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS51471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical