Provider Demographics
NPI:1942500665
Name:VERNON, CLAUDIA HELEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:HELEN
Last Name:VERNON
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 1:5182 KATELLA AVE
Mailing Address - Street 2:STE. 202
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2824
Mailing Address - Country:US
Mailing Address - Phone:714-558-9266
Mailing Address - Fax:
Practice Address - Street 1:5182 KATELLA AVE
Practice Address - Street 2:STE. 202
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2824
Practice Address - Country:US
Practice Address - Phone:714-558-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS202661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical