Provider Demographics
NPI:1942487590
Name:MCCLOSKEY, SALLY CURWEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:CURWEN
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 ORLENA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-1850
Mailing Address - Country:US
Mailing Address - Phone:562-597-6511
Mailing Address - Fax:
Practice Address - Street 1:376 ORLENA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90814-1850
Practice Address - Country:US
Practice Address - Phone:562-597-6511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA242121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA24212OtherLCS