Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE MITZENMACHER, LCSW
Active Sole ProprietorDIANE MITZENMACHER, LCSW is a Clinical Social Worker healthcare provider located in RANCHO CUCUAMONGA, California. NPI 1649366394 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RANCHO CUCUAMONGA, CA
Registration Details
- NPI Number
- 1649366394
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2006 (19.879464524265 yrs)
- Last Updated
- Jun 8, 2023
- Licenses
-
LCS19655 (CA)BCD#29518 (CA)LCSW19655 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8300 UTICA AVE #155RANCHO CUCUAMONGA, CA, 917307605Browse CA providers · Browse ZIP 91730
- Phone
- 9092855205
- Fax
- 9092852103
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.