Samara Fabrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17345 Issued in CA

Practice address

152 S Lasky Dr Ste 101
Beverly Hills, CA 90212-1715

Phone

(310) 205-0776

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1275721185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 S LASKY DR STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121715",
            "telephone_number": "310-205-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S LASKY DR STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121715",
            "telephone_number": "310-205-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRICK",
        "first_name": "SAMARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expedite Medical Billing
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• Eye Surgery Center of Beverly Hills
• Beatrice Ezrapour
• Louis Victor Fabale, D.C.
• Face and Sinonasal Specialists of Beverly Hills PC
• Facial Nerve Inc
• Alexandra Louise Fadel, DPT
• Fadi Chahin, M.D. Inc
• Saul Jules Faerstein, M.D.

• Clinical Social Worker in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.