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NPI Code Detail

MEDICARE: LOUISE STANTON LCSW

MEDICARE:   LOUISE  STANTON  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
1101YM0800XMental Health CounselorLCS19043CA

General Provider Information

NPI Number : 1689746836
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISE STANTON LCSW
Provider Business Mailing Address
First Line : 3101 OCEAN PARK BLVD
Second Line : SUITE 200
City : SANTA MONICA
State : CA
Zip : 90405-3022
Country : US
Telephone Number : 310-449-1331
Fax Number :
Provider Business Practice Location Address
First Line : 3101 OCEAN PARK BLVD
Second Line : SUITE 200
City : SANTA MONICA
State : CA
Zip : 90405-3022
Country : US
Telephone Number : 310-449-1331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 01/25/2026

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Directions to “ LOUISE STANTON LCSW” Practice Location

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