Provider Demographics
NPI:1831433846
Name:CERNY, VERA (LCSW)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:CERNY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:VERA
Other - Middle Name:
Other - Last Name:CERNY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1221 S SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-1534
Mailing Address - Country:US
Mailing Address - Phone:424-421-2080
Mailing Address - Fax:
Practice Address - Street 1:1221 S SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-1534
Practice Address - Country:US
Practice Address - Phone:424-421-2080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1010221041C0700X
CA1010221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical