Samudio, Mercedes

Samudio, Mercedes is an sole proprietor health care provider with primary practice located at 2930 W Imperial Hwy Suite 310, Inglewood CA 90303-3143. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Samudio, Mercedes can be contacted via phone (310) 351-3609.

Contact Information

Primary practice address
2930 W Imperial Hwy Suite 310 Inglewood CA 90303-3143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW32387 California
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW32387 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 64645 California

Profile Details

NPI number 1659645927
LBN Legal business name Samudio, Mercedes
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2012
Last updated Dec 2nd, 2014 - about 11 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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