Provider Demographics
NPI:1528002961
Name:MANDELL, JOAN GOLDEN (MSW,LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:GOLDEN
Last Name:MANDELL
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7944 MARQUAND AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-6110
Mailing Address - Country:US
Mailing Address - Phone:818-887-4782
Mailing Address - Fax:818-346-2102
Practice Address - Street 1:23241 VENTURA BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1003
Practice Address - Country:US
Practice Address - Phone:818-887-4782
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 41551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical