| Eden Licensed Clinical Social Worker Corporation | |
|
3857 Birch St # 9105 Newport Beach CA 92660-2616 | |
| (949) 688-3511 | |
| Not Available |
| Full Name | Eden Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3857 Birch St # 9105, Newport Beach, California |
| Authorized Official Name and Position | Nicole Widman (OWNER) |
| Authorized Official Contact | 9496883511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Licensed Clinical Social Worker Corporation 3857 Birch St # 9105 Newport Beach CA 92660-2616 Ph: () - | Eden Licensed Clinical Social Worker Corporation 3857 Birch St # 9105 Newport Beach CA 92660-2616 Ph: (949) 688-3511 |
| NPI Number | 1528986056 |
|---|---|
| Provider Enumeration Date | 07/10/2026 |
| Last Update Date | 07/10/2026 |
| Certification Date | 06/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528986056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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