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NPI Code Detail

MEDICARE: LINDA YOON LICENSED CLINICAL SOCIAL WORKER, INC.

MEDICARE: LINDA YOON LICENSED CLINICAL SOCIAL WORKER, INC.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1295344372
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDA YOON LICENSED CLINICAL SOCIAL WORKER, INC.
Provider Business Mailing Address
First Line : 1230 ROSECRANS AVE STE 300
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2494
Country : US
Telephone Number : 213-222-8402
Fax Number : 310-919-2723
Provider Business Practice Location Address
First Line : 1230 ROSECRANS AVE
Second Line : SUITE 300
City : MANHATTAN BEACH
State : CA
Zip : 90266-2494
Country : US
Telephone Number : 213-222-8402
Fax Number : 310-919-2723
Authorized Official
Title or Position : OWNER
Name : LINDA YOON
Credential : LCSW
Telephone Number : 310-561-1008
Provider Enumeration Date : 07/24/2020
Last Update Date : 03/05/2026

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