MEDICARE: ERMA OPPENHEIM LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS18266	CA

General Provider Information

NPI Number	:	1013099431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERMA OPPENHEIM LCSW

Provider Business Mailing Address
First Line	:	171 PIER AVE # 262
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-5311
Country	:	US
Telephone Number	:	310-892-0168
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 W 1ST ST
Second Line	:	6TH FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-4112
Country	:	US
Telephone Number	:	213-996-1338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	02/19/2014

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Directions to “ ERMA OPPENHEIM LCSW” Practice Location

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