Provider Demographics
NPI:1720486335
Name:HERRERA, JOSEPH RICHARD (MSW)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:RICHARD
Last Name:HERRERA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 W KNOLL DR
Mailing Address - Street 2:UNIT 203
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4737
Mailing Address - Country:US
Mailing Address - Phone:323-573-5909
Mailing Address - Fax:
Practice Address - Street 1:837 W KNOLL DR
Practice Address - Street 2:UNIT 203
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-4737
Practice Address - Country:US
Practice Address - Phone:323-573-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker