| Irma Sommerfeld Licensed Clinical Social Worker A Professional Corp | |
|
650 Hampshire Rd Ste 200 Westlake Village CA 91361-2540 | |
| (805) 794-0743 | |
| Not Available |
| Full Name | Irma Sommerfeld Licensed Clinical Social Worker A Professional Corp |
|---|---|
| Speciality | Counselor |
| Location | 650 Hampshire Rd Ste 200, Westlake Village, California |
| Authorized Official Name and Position | Irma Sommerfeld (OWNER) |
| Authorized Official Contact | 8057940743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irma Sommerfeld Licensed Clinical Social Worker A Professional Corp 650 Hampshire Rd Ste 200 Thousand Oaks CA 91361-2540 Ph: (805) 794-0743 | Irma Sommerfeld Licensed Clinical Social Worker A Professional Corp 650 Hampshire Rd Ste 200 Westlake Village CA 91361-2540 Ph: (805) 794-0743 |
| NPI Number | 1821663543 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 5395147391 |
|---|---|
| Medicare Enrollment ID | O20210714000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821663543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Irma Sommerfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396190187 PECOS PAC ID: 2567864564 Enrollment ID: I20210714000296 |
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