Provider Demographics
NPI:1184929945
Name:LUM, NANCY JEANETTE (LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JEANETTE
Last Name:LUM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:JEANETTE
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2375 E IMPERIAL HWY # 1019
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-6112
Mailing Address - Country:US
Mailing Address - Phone:714-494-6710
Mailing Address - Fax:
Practice Address - Street 1:14241 FIRESTONE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-5534
Practice Address - Country:US
Practice Address - Phone:714-494-6710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW768231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical