Provider Demographics
NPI:1902529621
Name:NANCY UBERTO, LICENSED CLINICAL SOCIAL WORKER & ASSOCIATES, PC
Entity Type:Organization
Organization Name:NANCY UBERTO, LICENSED CLINICAL SOCIAL WORKER & ASSOCIATES, PC
Other - Org Name:THE HEALING COLLECTIVE, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:UBERTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-646-8187
Mailing Address - Street 1:1055 E COLORADO BLVD FL 5
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2327
Mailing Address - Country:US
Mailing Address - Phone:626-788-6634
Mailing Address - Fax:
Practice Address - Street 1:1055 E COLORADO BLVD FL 5
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2327
Practice Address - Country:US
Practice Address - Phone:626-788-6634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty