LILLY DAMEN MSW INTERN NPI 1952735128

NPI Information

NPI: 1952735128
Provider Name: LILLY DAMEN, MSW INTERN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
855 N EUCLID AVE
ONTARIO, CA
ZIP 91762
Phone: (909) 983-2020
Get Directions

Lilly Damen, MSW INTERN is a mental health counselor in Ontario, CA. Lilly Damen, MSW INTERN NPI is 1952735128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 N EUCLID AVE
ONTARIO, CA
ZIP 91762-729
Phone: (909) 983-2020
Fax: (909) 983-6847

The enumeration date for this NPI number is 8/23/2013 and was last updated on 8/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95-1946482	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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