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INDEPENDENCE COMMUNITY TREATMENT CLINIC
NPI 1770711848
Clinic/Center - Community Health in Lancaster, CA

Active since June 29, 2009
43520 DIVISION ST, 202, CONFERENCE ROOM, LANCASTER, CA 93535(818) 776-1755 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Independence Community Treatment Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI 1770711848) is a healthcare organization registered as a community health in Lancaster, California and active in the NPI registry since June 2009. The organization lists Alex Branzburg, Executive Program Director, as its authorized official.

NPPES Registry Identity

NPI1770711848
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameINDEPENDENCE COMMUNITY TREATMENT CLINIC
Location Address43520 DIVISION ST, 202, CONFERENCE ROOMLancaster, CA 93535-4089
Mailing Address19231 Victory BlvdReseda, CA 91335-6308 · (818) 776-1755
Phone(818) 776-1755
Organization SubpartNo
Authorized OfficialAlex BranzburgExecutive Program Director · (818) 776-1755
Enumeration DateJune 29, 2009
Last NPPES UpdateMarch 8, 2010
✔ NPI 1770711848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in CA · 960001358
43520 DIVISION ST, Lancaster, CA 93535
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Other Identifiers 2

MedicaidCMM70956FCA
Medicaid196856000CA

Reviews for INDEPENDENCE COMMUNITY TREATMENT CLINIC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

MR. ANDREW G PARI L.C.S.W.
Social Worker (Clinical)
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MR. KENNETH NORMAN BACKMAN MFT
Marriage & Family Therapist
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
STEVEN DOUGLAS GEE MFT
Marriage & Family Therapist
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
SARVNAZ KHAJAVI
Marriage & Family Therapist
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MRS. EMILIA MARIE HAYES
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 274-0770
PENNY LANE
Rehabilitation Practitioner
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 816-3069
PENNY LANE CENTERS
Community/Behavioral Health
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
TARA TAPIA
Case Management
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MRS. CARMEN WEST
Rehabilitation Practitioner
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
JUDITH LYNN GRAYSON
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MR. RAMY DANON M.S. MFT
Marriage & Family Therapist
43520 DIVISION ST, RM. 214
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MRS. ARACELI JONES AA
Rehabilitation Practitioner
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
SARAH BETH SCHUPACK M.S. MFT
Marriage & Family Therapist
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (312) 320-7516
DESTINIE T GRIMES MSA
Counselor
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MS. LEESA JEAN BECARIA
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 274-0770
ALEXANDRIA JOHNSON M.S.W.
Counselor (Mental Health)
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
GINA MICHELLE LINSTROM
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 272-4883
MRS. CARRIE LYNN HALEY
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MRS. LISA RENE SENETTE-HARRIS BA SOCIOLOGY
Rehabilitation Practitioner
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MS. STEPHANIE H AVALOS
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 226-4783

Frequently Asked Questions

What is INDEPENDENCE COMMUNITY TREATMENT CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1770711848, enumerated as an "organization" on June 29, 2009.

Where is the provider located?

The provider is located at 43520 DIVISION ST 202, CONFERENCE ROOM LANCASTER, CA 93535 and the phone number is (818) 776-1755.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.

What insurance does INDEPENDENCE COMMUNITY TREATMENT CLINIC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.