|
| |
|
111 No. La Brea Suite 611 Inglewood CA 90301 | |
| (310) 412-1523 | |
| (310) 330-4723 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 No. La Brea, Inglewood, California |
| Authorized Official Name and Position | Betty J Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3104121523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1070 Inglewood CA 90308-1070 Ph: (310) 412-1523 | 111 No. La Brea Suite 611 Inglewood CA 90301 Ph: (310) 412-1523 |
| NPI Number | 1396895959 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396895959 | NPI | - | NPPES |
| LLOO7975 | Other | CA | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LL007975 (California) | Primary |
Soul Care Licensed Clinical Social Worker Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Centinela Ave, Inglewood, CA 90302 Phone: 424-321-7685 | |
Jikole Helping Hands Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E Hillcrest Blvd, Inglewood, CA 90301 Phone: 310-292-9941 | |
California Neuromedical Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 301 N Prairie Ave, Ste.315, Inglewood, CA 90301 Phone: 310-680-0304 Fax: 310-680-0305 | |
Maat Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 W Manchester Blvd Unit 349, Inglewood, CA 90305 Phone: 323-855-7527 |