Anne M Dewberry, LMFT
Individual provider Active NPI Marriage & Family Therapist · Topanga, CA
NPI 1003258609 · NPPES record last updated Feb 9, 2017
Key facts
- NPI
- 1003258609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 96765 (CA)
- Practice address
- 1158 Comanche
Topanga, CA 90290-4429 - Phone
- (818) 704-8137
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240226003985 | CA | Practitioner - Marriage and Family Therapist | 8820433113 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96765 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Mind Counseling Services Inc. | Marriage & Family Therapist | Current |
Accepting new patients |
| Sud Specialty Group - Ca | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 96765 | CA | Yes |
Addresses
Primary practice location
1158 Comanche
Topanga, CA 90290-4429
Mailing address
1158 Comanche
Topanga, CA 90290-4429
Phone (818) 704-8137
Other providers in Topanga, CA
- Anna C Corson
- Alexandra Decleene
- Stacy Depue
- Destinations to Recovery LLC
- Destinations to Recovery LLC
- Vila M Donovan
- Sahaja Douglass
- David A Dubin
- Katherine English
- Express Healthcare LLC
All providers in Topanga, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.