Provider Demographics
NPI:1811160716
Name:MARGARET KROSE, MSW, & HERBERT KROSE, MSW, INC.
Entity type:Organization
Organization Name:MARGARET KROSE, MSW, & HERBERT KROSE, MSW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-843-7279
Mailing Address - Street 1:500 E OLIVE AVENUE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2171
Mailing Address - Country:US
Mailing Address - Phone:818-843-7279
Mailing Address - Fax:818-843-1933
Practice Address - Street 1:500 E OLIVE AVENUE
Practice Address - Street 2:SUITE 310
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91501-2171
Practice Address - Country:US
Practice Address - Phone:818-843-7279
Practice Address - Fax:818-843-1933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS8340, LCS4811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty