MEDICARE: MRS. ABHA VERMA 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	LCS61057	CA

General Provider Information

NPI Number	:	1184873184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ABHA VERMA LCSW

Provider Business Mailing Address
First Line	:	15 PALOMA AVE APT 42
Second Line	:
City	:	VENICE
State	:	CA
Zip	:	90291-8748
Country	:	US
Telephone Number	:	805-701-3763
Fax Number	:

Provider Business Practice Location Address
First Line	:	543 N FAIRFAX AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-1715
Country	:	US
Telephone Number	:	323-852-8522
Fax Number	:

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

Provider Enumeration Date	:	09/15/2008
Last Update Date	:	10/11/2021

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