Brenda Church, LCSW
Individual provider Active NPI Clinical Social Worker · Selma, CA
NPI 1477858629 · NPPES record last updated Jan 20, 2011
Key facts
- NPI
- 1477858629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS23267 (CA)
- Practice address
- 2711 Cinema Way Ste 111
Selma, CA 93662-2677 - Phone
- (559) 891-2750
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LCS23267 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS23267 | CA | Yes |
Addresses
Primary practice location
2711 Cinema Way Ste 111
Selma, CA 93662-2677
Mailing address
8600 Kansas Ave
Hanford, CA 93230-9565
Phone (559) 582-1612
Other providers in Selma, CA
- Holly L. Charpentier
- Woo Hyun Choi
- Julia Y Chung
- Tommy Chung
- Chung'S Pharmacy Inc
- City of Selma
- Robert Edward Clark
- Comprehensive Addiction Program
- Luz Corona Gomez
- Country Care Assisted Living Home for the Elderly
All providers in Selma, 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 Jan 20, 2011. 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.