MEDICARE: SARAH INSEL 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
1	1041C0700X	Clinical Social Worker	4296	HI
2	1041C0700X	Clinical Social Worker	LW61381391	WA
3	1041C0700X	Clinical Social Worker	80206	CA

General Provider Information

NPI Number	:	1093280489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH INSEL LCSW

Provider Business Mailing Address
First Line	:	4833 SANTA MONICA AVE UNIT 7414
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92167-7018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4833 SANTA MONICA AVE UNIT 7414
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92167-7018
Country	:	US
Telephone Number	:	206-852-3610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2018
Last Update Date	:	05/07/2025

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