Provider Demographics
NPI:1922205129
Name:LANZET, BARBARA KING (ACSW,LCSW,BCD)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:KING
Last Name:LANZET
Suffix:
Gender:F
Credentials:ACSW,LCSW,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MARIN ST
Mailing Address - Street 2:SUITE110
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4260
Mailing Address - Country:US
Mailing Address - Phone:818-426-9784
Mailing Address - Fax:805-499-6645
Practice Address - Street 1:501 MARIN ST
Practice Address - Street 2:SUITE110
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4260
Practice Address - Country:US
Practice Address - Phone:818-426-9784
Practice Address - Fax:805-499-6645
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS104551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical