Provider Demographics
NPI:1548597040
Name:DEPARTMENT OF CHILDREN AND FAMILY SERVICES
Entity Type:Organization
Organization Name:DEPARTMENT OF CHILDREN AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILDREN'S SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:JAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:562-497-3543
Mailing Address - Street 1:500 XIMENO AVE
Mailing Address - Street 2:209
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-1723
Mailing Address - Country:US
Mailing Address - Phone:562-497-3543
Mailing Address - Fax:
Practice Address - Street 1:4060 WATSON PLAZA DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-4033
Practice Address - Country:US
Practice Address - Phone:562-497-3543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS25775253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency