MEDICARE: MS. REBECCA ANN MCGUIRE 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	70200	CA

General Provider Information

NPI Number	:	1598997363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA ANN MCGUIRE LCSW

Provider Business Mailing Address
First Line	:	PO BOX 642215
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-8020
Country	:	US
Telephone Number	:	310-740-3127
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 S BARRINGTON AVE STE 203
Second Line	:
City	:	WEST LOS ANGELES
State	:	CA
Zip	:	90025-5385
Country	:	US
Telephone Number	:	310-740-3127
Fax Number	:

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

Provider Enumeration Date	:	08/12/2009
Last Update Date	:	10/29/2018

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