MEDICARE: MS. EVE SUZANNE NADEL L.C.S.W.

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	101YM0800X	Mental Health Counselor	20098	CA

General Provider Information

NPI Number	:	1942368709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVE SUZANNE NADEL L.C.S.W.

Provider Business Mailing Address
First Line	:	1031 17TH STEET
Second Line	:	#3
City	:	SANTA MONICA
State	:	CA
Zip	:	90403
Country	:	US
Telephone Number	:	310-339-5994
Fax Number	:

Provider Business Practice Location Address
First Line	:	11080 WEST OLYMPIC BLVD.
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064
Country	:	US
Telephone Number	:	310-966-6500
Fax Number	:	310-966-9473

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

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