Provider Demographics
NPI:1467768341
Name:HAN, GENG (LCSW)
Entity type:Individual
Prefix:
First Name:GENG
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GENG
Other - Middle Name:
Other - Last Name:GORODNITSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASW
Mailing Address - Street 1:713 W DUARTE RD STE G-290
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7564
Mailing Address - Country:US
Mailing Address - Phone:714-932-7732
Mailing Address - Fax:
Practice Address - Street 1:713 W DUARTE RD STE 290
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7564
Practice Address - Country:US
Practice Address - Phone:909-901-3001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor