MEDICARE: MARIA RAQUEL CARR 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	119677	CA
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1134613995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA RAQUEL CARR LCSW

Provider Business Mailing Address
First Line	:	1720 E 120TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3052
Country	:	US
Telephone Number	:	323-298-3680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 E 120TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3052
Country	:	US
Telephone Number	:	323-298-3673
Fax Number	:

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

Provider Enumeration Date	:	06/15/2018
Last Update Date	:	02/12/2026

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