Provider Demographics
NPI:1518971316
Name:NATION, NEIL R (LCSW)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:R
Last Name:NATION
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 LA JOLLA VILLAGE DR
Mailing Address - Street 2:STE. 530
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1402
Mailing Address - Country:US
Mailing Address - Phone:858-232-2808
Mailing Address - Fax:858-225-0222
Practice Address - Street 1:4180 LA JOLLA VILLAGE DR
Practice Address - Street 2:STE. 530
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1402
Practice Address - Country:US
Practice Address - Phone:858-232-2808
Practice Address - Fax:858-225-0222
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS105021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical