Healthcare Provider Details

I. General information

NPI: 1356569545
Provider Name (Legal Business Name): LEMOR TEPPER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91601-3155
US

IV. Provider business mailing address

5200 LANKERSHIM BLVD
NORTH HOLLYWOOD CA
91601-3155
US

V. Phone/Fax

Practice location:
  • Phone: 818-980-3200
  • Fax:
Mailing address:
  • Phone: 818-980-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number130676
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: