Provider Demographics
NPI:1942715792
Name:DRUCKER, BAILA (LCSW)
Entity Type:Individual
Prefix:
First Name:BAILA
Middle Name:
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BAILA
Other - Middle Name:
Other - Last Name:PARETZKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3318 S CANFIELD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2923
Mailing Address - Country:US
Mailing Address - Phone:732-228-1216
Mailing Address - Fax:
Practice Address - Street 1:8831 VENICE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-3223
Practice Address - Country:US
Practice Address - Phone:310-204-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW803231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical