Organization
CLINICAL SOCIAL WORK CORPORATION OF CALIFRONIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA G DRAKE LCSW, LISW CP & AP (CEO)
(803) 331-0865
Entity
Organization
Contact information
Practice address
13902 FIJI WAY APT 119, MARINA DEL REY, CA 90292-6922
(909) 515-3698
Mailing address
4712 ADMIRALTY WAY # 1011, MARINA DEL REY, CA 90292-6905
(909) 515-3698
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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