Provider Demographics
NPI:1568527380
Name:LERNER, NANCY D (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:D
Last Name:LERNER
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 1:29027 OLD CARRIAGE CT
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-1621
Mailing Address - Country:US
Mailing Address - Phone:805-371-1970
Mailing Address - Fax:805-498-3711
Practice Address - Street 1:2535 TOWNSGATE RD STE 209
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5976
Practice Address - Country:US
Practice Address - Phone:805-371-1970
Practice Address - Fax:805-498-3711
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8351LCSW104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker