Provider Demographics
NPI:1942326228
Name:GERLACH, CRAIG LORENZ (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:LORENZ
Last Name:GERLACH
Suffix:
Gender:M
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 1:1000 E WALNUT ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1452
Mailing Address - Country:US
Mailing Address - Phone:626-308-7999
Mailing Address - Fax:323-851-7215
Practice Address - Street 1:1000 E WALNUT ST
Practice Address - Street 2:SUITE 216
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1452
Practice Address - Country:US
Practice Address - Phone:626-308-7999
Practice Address - Fax:323-851-7215
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS60531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical