Healthcare Provider Details

I. General information

NPI: 1932811478
Provider Name (Legal Business Name): KLARA KNYPINSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 N SAN VICENTE BLVD STE 256
BEVERLY HILLS CA
90211-2329
US

IV. Provider business mailing address

2852 ROSANNA ST APT 1
LOS ANGELES CA
90039-2967
US

V. Phone/Fax

Practice location:
  • Phone: 805-409-7101
  • Fax:
Mailing address:
  • Phone: 682-552-6579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: