Claudia Boles, LCSW

Individual provider Active NPI Clinical Social Worker · San Marino, CA

NPI 1306469887 · NPPES record last updated May 19, 2020

Key facts

NPI
1306469887
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
23351 (CA)
Practice address
1745 S Los Robles Ave
San Marino, CA 91108-1624
Phone
(310) 869-6014
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
23351CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 23351 CA Yes

Addresses

Primary practice location

1745 S Los Robles Ave
San Marino, CA 91108-1624

Mailing address

1745 S Los Robles Ave
San Marino, CA 91108-1624
Phone (310) 869-6014

Other providers in San Marino, CA

All providers in San Marino, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.