Courtney Malia Krakie, LCSW
Individual provider Active NPI Clinical Social Worker · Torrance, CA
NPI 1447720487 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1447720487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 18170 (CA)
- Practice address
- 3330 Lomita Blvd
Torrance, CA 90505-5002 - Phone
- (310) 891-6634
- NPI assigned
- Dec 3, 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 |
|---|---|---|---|
| 18170 | CA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18170 | CA | Yes |
Addresses
Primary practice location
3330 Lomita Blvd
Torrance, CA 90505-5002
Mailing address
2822 Palos Verdes Dr W
Palos Verdes Estates, CA 90274-2840
Phone (916) 798-8773
Other providers in Torrance, CA
- Koyo Psychology, Inc.
- Maggie Kozman
- KPW Medical Associates, PC
- KPW Urology Specialty Group
- KPW Urology Specialty Group
- Victor Gregory Krall
- Harry Kram
- Sara Kranke
- Jennifer M Krantz
- Margarita M Krasnova
All providers in Torrance, 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 Dec 3, 2018. 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.