Provider Demographics
NPI:1609923523
Name:HAUSER, RHONDA L (LCSW)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:L
Last Name:HAUSER
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 1:21241 VENTURA BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2137
Mailing Address - Country:US
Mailing Address - Phone:818-620-5826
Mailing Address - Fax:877-407-8502
Practice Address - Street 1:21241 VENTURA BLVD STE 290
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2137
Practice Address - Country:US
Practice Address - Phone:818-620-5826
Practice Address - Fax:877-407-8502
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS219041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA202425695OtherTIN