Golnoush Nikki Abedi, MSW

Individual provider Active NPI Clinical Social Worker · Los Angeles, CA

NPI 1083047294 · NPPES record last updated Feb 14, 2017

Key facts

NPI
1083047294
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
4211 Avalon Blvd
Los Angeles, CA 90011
Phone
(323) 802-0295
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4211 Avalon Blvd
Los Angeles, CA 90011

Mailing address

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone (323) 802-0295

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.