Emily Sara Abraham, LCSW
Individual provider Active NPI Clinical Social Worker · Los Angeles, CA
NPI 1215411137 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1215411137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110789 (CA)
- Practice address
- 3415 S Sepulveda Blvd Ste 1100
Los Angeles, CA 90034-7090 - Phone
- (747) 221-9857
- NPI assigned
- Sep 17, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09929247 | CO | MD | Clinical Social Worker |
| 110789 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09929247 | CO | |
| Clinical Social Worker | 1041C0700X | 110789 | CA | Yes |
Addresses
Primary practice location
3415 S Sepulveda Blvd Ste 1100
Los Angeles, CA 90034-7090
Mailing address
5625 Cambridge Way Unit 204
Culver City, CA 90230-6767
Phone (747) 221-9857
Other providers in Los Angeles, CA
- Aaron L Abraham
- Adolf Abraham
- Ancy Abraham
- Angela Abraham
- Daniel Abraham
- Esther Abraham
- Jennifer Abraham
- Jerry Puthenpurakal Abraham
- Lianne-Therese Valerio Abraham
- Marina Boulos Abraham
All providers in Los Angeles, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.