Christiana Dorian Grotlisch, LCSW is a
Social Worker - Clinical based in Malibu, California. Christiana Dorian Grotlisch is licensed to practice in California (license number 115305) and her current practice location is
31450 Broad Beach Rd, Malibu, California. She can be reached at her office (for appointments etc.) via phone at
(310) 881-8457.
NPI number for Christiana Dorian Grotlisch is 1922511401 and her current mailing address is 31450 Broad Beach Rd, Malibu, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922511401.
Healthcare Provider's Profile
Full Name | Christiana Dorian Grotlisch |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 31450 Broad Beach Rd, Malibu, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922511401
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 05/30/2023
Medical Identifiers
Medical identifiers for Christiana Dorian Grotlisch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922511401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 98118 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 115305 (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. Christiana Dorian Grotlisch 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 |
Christiana Dorian Grotlisch, LCSW 31450 Broad Beach Rd, Malibu, CA 90265-2669 Ph: (310) 499-3145 | Christiana Dorian Grotlisch, LCSW 31450 Broad Beach Rd, Malibu, CA 90265-2669 Ph: (310) 881-8457 |
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