Provider Demographics
NPI:1629240585
Name:ROSA-BIENENFELD, CLAUDIA JOAN (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA JOAN
Middle Name:
Last Name:ROSA-BIENENFELD
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 1:10153 1/2 RIVERSIDE DRIVE,
Mailing Address - Street 2:SUITE 198
Mailing Address - City:TOLUCA LAKE,
Mailing Address - State:CA
Mailing Address - Zip Code:91602
Mailing Address - Country:US
Mailing Address - Phone:818-487-2593
Mailing Address - Fax:818-487-8591
Practice Address - Street 1:11911 SAN VICENTE BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-5086
Practice Address - Country:US
Practice Address - Phone:818-487-2593
Practice Address - Fax:818-487-8591
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS192091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical