Samantha Kelly-latzer, is a
Counselor - Mental Health based in Los Angeles, California. Samantha Kelly-latzer is licensed to practice in California (license number 109565) and her current practice location is
11601 S Western Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 242-5000.
NPI number for Samantha Kelly-latzer is 1174233324 and her current mailing address is 11601 S Western Ave, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174233324.
Healthcare Provider's Profile
Full Name | Samantha Kelly-latzer |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 11601 S Western Ave, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174233324
- Provider Enumeration Date: 11/29/2022
- Last Update Date: 08/03/2023
Medical Identifiers
Medical identifiers for Samantha Kelly-latzer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174233324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 109565 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Kelly-latzer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Kelly-latzer, 11601 S Western Ave, Los Angeles, CA 90047-5006 Ph: (323) 242-5000 | Samantha Kelly-latzer, 11601 S Western Ave, Los Angeles, CA 90047-5006 Ph: (323) 242-5000 |
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