MEDICARE: ARACELI ALLIE 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	70808	CA
2	104100000X	Social Worker
3	1041C0700X	Clinical Social Worker	081210-1	NY

General Provider Information

NPI Number	:	1699825968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARACELI ALLIE LCSW

Provider Business Mailing Address
First Line	:	4616 MAYTIME LN
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-5062
Country	:	US
Telephone Number	:	213-422-3208
Fax Number	:

Provider Business Practice Location Address
First Line	:	4616 MAYTIME LN
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-5062
Country	:	US
Telephone Number	:	213-422-3208
Fax Number	:

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	10/30/2025

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