Provider Demographics
NPI:1144320607
Name:RESNIK, NAOMI RUTH (LCSW, LMFT)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:RUTH
Last Name:RESNIK
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:MRS
Other - First Name:NAOMI
Other - Middle Name:RUTH
Other - Last Name:RESNIK SKULSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2200 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254
Mailing Address - Country:US
Mailing Address - Phone:310-372-8887
Mailing Address - Fax:310-821-3724
Practice Address - Street 1:2200 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 208
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254
Practice Address - Country:US
Practice Address - Phone:310-372-8887
Practice Address - Fax:310-821-3724
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53041041C0700X
CA9058106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW5304Medicare ID - Type Unspecified