Provider Demographics
NPI:1174875033
Name:OCEGUERA, KARINA VANESSA (LCSW)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:VANESSA
Last Name:OCEGUERA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14445 OLIVE VIEW DRIVE
Mailing Address - Street 2:SOCIAL WORK DEPT. 1A139
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342
Mailing Address - Country:US
Mailing Address - Phone:747-210-4236
Mailing Address - Fax:747-210-4239
Practice Address - Street 1:14445 OLIVE VIEW DRIVE
Practice Address - Street 2:SOCIAL WORK DEPT. 1A139
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342
Practice Address - Country:US
Practice Address - Phone:747-210-4236
Practice Address - Fax:747-210-4239
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-02
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW752681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical