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NPI Code Detail

MEDICARE: MISS FELICIA D AUERBACH L.C.S.W.

MEDICARE: MISS FELICIA D AUERBACH L.C.S.W.
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
11041C0700XClinical Social WorkerLCSW65056CA
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4104100000XSocial Worker
51041C0700XClinical Social Worker

General Provider Information

NPI Number : 1174853402
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS FELICIA D AUERBACH L.C.S.W.
Provider Business Mailing Address
First Line : 2307 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3119
Country : US
Telephone Number : 213-351-2835
Fax Number :
Provider Business Practice Location Address
First Line : 2307 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3119
Country : US
Telephone Number : 213-351-2835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2010
Last Update Date : 07/08/2022

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