MEDICARE: BARBARA J KING SUTTON 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	118415	CA

General Provider Information

NPI Number	:	1982245700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA J KING SUTTON LCSW

Provider Business Mailing Address
First Line	:	9160 LOYOLA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3576
Country	:	US
Telephone Number	:	213-760-8910
Fax Number	:

Provider Business Practice Location Address
First Line	:	9160 LOYOLA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3576
Country	:	US
Telephone Number	:	424-646-6535
Fax Number	:

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

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	01/05/2026

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