| Susan Davies, License Clinical Social Worker, Inc. | |
|
24050 Madison St 100-n Torrance CA 90505-6015 | |
| (310) 803-5441 | |
| (310) 373-9272 |
| Full Name | Susan Davies, License Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 24050 Madison St, Torrance, California |
| Authorized Official Name and Position | Susan Davies (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3108035441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Davies, License Clinical Social Worker, Inc. 24050 Madison St 100-n Torrance CA 90505-6015 Ph: () - | Susan Davies, License Clinical Social Worker, Inc. 24050 Madison St 100-n Torrance CA 90505-6015 Ph: (310) 803-5441 |
| NPI Number | 1174882708 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/16/2012 |
| Medicare PECOS PAC ID | 9133382518 |
|---|---|
| Medicare Enrollment ID | O20120522001205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174882708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9757 (California) | Primary |
| Provider Name | Susan E Gittleman Davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437267697 PECOS PAC ID: 6305009788 Enrollment ID: I20120530000064 |
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