Kimmel, Ellen R.

Kimmel, Ellen R. is an sole proprietor health care provider with primary practice located at 578 Washington Blvd # 815 , Marina Del Rey CA 90292-5442. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kimmel, Ellen R. can be contacted via phone (323) 447-8372.

Contact Information

Primary practice address
578 Washington Blvd # 815 Marina Del Rey CA 90292-5442
Phone: (323) 447-8372
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS11387 California

Profile Details

NPI number 1972635779
LBN Legal business name Kimmel, Ellen R.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Nov 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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