=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649123027
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARC SADOFF LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2026
-----------------------------------------------------
Last Update Date | 02/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2211 CORINTH AVE STE 309
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90064-1622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-663-4165
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2211 CORINTH AVE STE 309
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90064-1622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-663-4165
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER EMPLOYEE
-----------------------------------------------------
Name | MR. MARC JEFFERY SADOFF
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 310-663-4165
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------