| Rebecca Danelski Licensed Clinical Social Worker, Inc. | |
|
10811 Washington Blvd Ste 280 Culver City CA 90232-3653 | |
| (310) 876-4052 | |
| (310) 876-4052 |
| Full Name | Rebecca Danelski Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 10811 Washington Blvd Ste 280, Culver City, California |
| Authorized Official Name and Position | Rebecca Jeanne Danelski (PRESIDENT) |
| Authorized Official Contact | 3106290400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Danelski Licensed Clinical Social Worker, Inc. 10811 Washington Blvd Ste 280 Culver City CA 90232-3653 Ph: (310) 876-4052 | Rebecca Danelski Licensed Clinical Social Worker, Inc. 10811 Washington Blvd Ste 280 Culver City CA 90232-3653 Ph: (310) 876-4052 |
| NPI Number | 1659986214 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Certification Date | 09/10/2020 |
| Medicare PECOS PAC ID | 6709206188 |
|---|---|
| Medicare Enrollment ID | O20201023002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659986214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca J Danelski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730308263 PECOS PAC ID: 2365406816 Enrollment ID: I20100708000998 |
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