BRENDA DELACRUZ (NPI# 1174707335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174707335 |
| Entity Type | Individual |
| Full Name | BRENDA DELACRUZ |
| Practice Address |
11565 Laurel Canyon Blvd Ste 116 San Fernando CA 91340-4650 |
| Mailing Address |
13755 Carl St Pacoima CA 91331-3719 |
| Practice Telephone | 8183615030 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW73079 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7420 | 05 | |
| CA | 7068 | 05 | |
| CA | 6758 | 05 |
| Street Address |
11565 LAUREL CANYON BLVD STE 116 |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038398 | Michele L Ryan | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2020-03-17 |
| 1891335220 | Deseary Monique Burciaga | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2020-01-14 |
| 1457822710 | Cecilia Cortez | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-12-16 |
| 1639654254 | Guadalupe Mabel Luna | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-09-28 |
| 1780165076 | Jasmin Rodriguez | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-08-24 |
| 1720595267 | Brittany Herrera | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-01-05 |
| 1184151367 | Autumn Latour | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2017-05-18 |
| 1356892327 | Sheila Alfaro-santiago | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340 | 2016-10-14 |
| 1245616804 | Diane Rodriguez Olvera | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2015-08-06 |
| 1336525286 | Lloyd Collins Long II | Marriage & Family Therapist | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731080 | Hathaway Sycamores Child and Family Services | Social Worker | 13241 Vaughn St., San Fernando, CA 91340-2237 | 2020-02-06 |
| 1144663006 | Ruben Vargas | Social Worker | 900 Third St. C/o Public Defenders Office 2nd Floor, San Fernando Superior Court, San Fernando, CA 91340-2935 | 2013-04-10 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| 1689288482 | Christopher Long Huynh | Social Worker | 919 1st St, San Fernando, CA 91340-2957 | 2020-08-31 |
| 1629681978 | Alexis L Cone | Social Worker | 919 1st St, San Fernando, CA 91340-2957 | 2020-08-26 |
| 1891335220 | Deseary Monique Burciaga | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2020-01-14 |
| 1093362329 | Stacy Dobbs | Social Worker | 919 1st St, San Fernando, CA 91340-2957 | 2019-08-21 |
| 1679040752 | Linda Mach | Social Worker | 732 Mott St, San Fernando, CA 91340-4237 | 2018-10-26 |
| 1639654254 | Guadalupe Mabel Luna | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-09-28 |
| 1780165076 | Jasmin Rodriguez | Social Worker | 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | 2018-08-24 |
| Find all providers in SAN FERNANDO | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.