Healthcare Provider Details

I. General information

NPI: 1124300926
Provider Name (Legal Business Name): SARAH SCHREIBER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 W 34TH ST STE 304
LOS ANGELES CA
90089-3602
US

IV. Provider business mailing address

1031 W 34TH ST STE 304
LOS ANGELES CA
90089-3602
US

V. Phone/Fax

Practice location:
  • Phone: 213-740-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number74601
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: