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NPI Code Detail

MEDICARE: ANNE S O'MARA LCSW

MEDICARE: ANNE S O'MARA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS1631CA

General Provider Information

NPI Number : 1023210077
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE S O'MARA LCSW
Provider Business Mailing Address
First Line : 1033 9TH ST
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-5950
Country : US
Telephone Number : 310-379-8100
Fax Number : 310-379-8393
Provider Business Practice Location Address
First Line : 9400 ROSECRANS AVE
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-2246
Country : US
Telephone Number : 562-461-6525
Fax Number : 562-461-4910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 12/07/2025

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