Provider Demographics
NPI:1013141506
Name:TAFF, BONNIE CLAIRE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:CLAIRE
Last Name:TAFF
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 1:1072 S CRESCENT HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2633
Mailing Address - Country:US
Mailing Address - Phone:323-933-7534
Mailing Address - Fax:323-937-7875
Practice Address - Street 1:1972 S. CRESCENT HEIGHTS BLVD.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035
Practice Address - Country:US
Practice Address - Phone:323-933-7534
Practice Address - Fax:323-937-7875
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS59251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical