Provider Demographics
NPI:1780834838
Name:BALCERZAK, JUDITH GENEVA (MSW, PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:GENEVA
Last Name:BALCERZAK
Suffix:
Gender:F
Credentials:MSW, PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 BAYSIDE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-2147
Mailing Address - Country:US
Mailing Address - Phone:805-985-2862
Mailing Address - Fax:
Practice Address - Street 1:38 TELOMA DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2155
Practice Address - Country:US
Practice Address - Phone:805-655-7640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 89201041C0700X
MI68010132571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical