Healthcare Provider Details

I. General information

NPI: 1205377710
Provider Name (Legal Business Name): ANA EUSSE MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23939 OCEAN AVE APT 233
TORRANCE CA
90505-5897
US

IV. Provider business mailing address

23939 OCEAN AVE APT 233
TORRANCE CA
90505-5897
US

V. Phone/Fax

Practice location:
  • Phone: 310-325-9110
  • Fax:
Mailing address:
  • Phone: 206-257-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC 60736304
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: