MEDICARE: SARAH LYNN STAFFORD GIANNINI MSW

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

General Provider Information

NPI Number	:	1447388459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LYNN STAFFORD GIANNINI MSW

Provider Business Mailing Address
First Line	:	244 W WALNUT AVE
Second Line	:	UNIT B
City	:	MONROVIA
State	:	CA
Zip	:	91016-3348
Country	:	US
Telephone Number	:	626-524-9798
Fax Number	:

Provider Business Practice Location Address
First Line	:	8939 S SEPULVEDA BLVD
Second Line	:	SUITE 460
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3631
Country	:	US
Telephone Number	:	626-524-9798
Fax Number	:

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	06/23/2009

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