Healthcare Provider Details

I. General information

NPI: 1700920360
Provider Name (Legal Business Name): GAYLE E. SINGER, L.C.S.W., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 09/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 SOUTH BEVERLY DRIVE SUITE #103
BEVERLY HILLS CA
90212
US

IV. Provider business mailing address

337 SOUTH BEVERLY DRIVE SUITE #103
BEVERLY HILLS CA
90212
US

V. Phone/Fax

Practice location:
  • Phone: 310-271-4749
  • Fax: 310-271-3551
Mailing address:
  • Phone: 310-271-4749
  • Fax: 310-271-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15307
License Number StateCA

VIII. Authorized Official

Name: GAYLE ELISE SINGER
Title or Position: PRESIDENT
Credential: M.S.W., L.C.S.W
Phone: 310-614-6329