Provider Demographics
NPI:1619174331
Name:WARNER, RAYMOND (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:
Last Name:WARNER
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 1:1900 E. 4TH STREET, 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808
Mailing Address - Country:US
Mailing Address - Phone:714-967-4579
Mailing Address - Fax:714-967-4575
Practice Address - Street 1:1900 E. 4TH STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808
Practice Address - Country:US
Practice Address - Phone:714-967-4579
Practice Address - Fax:714-967-4575
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS72641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical