Diana Acevedo Selover, LCSW
Individual provider Active NPI Clinical Social Worker · Sepulveda, CA
NPI 1386757367 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386757367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS9578 (CA)
- Practice address
- 16111 Plummer St
Building 10
Sepulveda, CA 91343-2036 - Phone
- (818) 891-7711
- Fax
- (818) 895-5858
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| LCS9578 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Administration | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS9578 | CA | Yes |
Addresses
Primary practice location
16111 Plummer St
Building 10
Sepulveda, CA 91343-2036
Mailing address
1167 E Badillo St Apt a
Covina, CA 91724-3012
Phone (626) 332-4579
Other providers in Sepulveda, CA
- Leslie Nitta
- Wendy Parker
- Rochelle Mary Philip
- Mark J Rosenthal
- Michael Alan Saito
- Iradj Siassi
- David H Slay
- Lynn Soban
- Linda Sohn
- Mary Pat Stenson
All providers in Sepulveda, 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 Jul 8, 2007. 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.