Basic Information
Provider Information
NPI: 1821120700
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAPLAN
FirstName: ANITA
MiddleName: IRENE
NamePrefix: MRS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14660 OXNARD ST
Address2:  
City: VAN NUYS
State: CA
PostalCode: 914113119
CountryCode: US
TelephoneNumber: 8189014836
FaxNumber:  
Practice Location
Address1: 14660 OXNARD ST
Address2:  
City: VAN NUYS
State: CA
PostalCode: 914113119
CountryCode: US
TelephoneNumber: 8189014836
FaxNumber: 8183760044
Other Information
ProviderEnumerationDate: 03/09/2007
LastUpdateDate: 08/24/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XLCSW22677CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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