Joan Marie Archer, LCSW
Individual provider Active NPI Clinical Social Worker · Chatsworth, CA
NPI 1184128985 · NPPES record last updated Mar 19, 2018
Key facts
- NPI
- 1184128985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 14615 (CA)
- Practice address
- 21000 Plummer St
Chatsworth, CA 91311-4903 - Phone
- (818) 882-6400
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14615 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14615 | CA | Yes |
Addresses
Primary practice location
21000 Plummer St
Chatsworth, CA 91311-4903
Mailing address
21000 Plummer St
Chatsworth, CA 91311-4903
Phone (818) 882-6400
Other providers in Chatsworth, CA
- Apluss Premier Healthcare Services, Inc.
- Perla Marisol Aragon
- Aram Mkhitarian Corp
- Manickam Aravagiri
- Arc Behavior
- Arev Hospice, Inc.
- Krystal Ariana Arevalo
- Ark Recovery Center Inc
- Tina Arutyunyan
- Assisted Living on Glade LLC
All providers in Chatsworth, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.