Doctor Name: | MS. LISA MARLOWE-CARR |
NPI Number: | 1033257134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS19668 |
Business Practice Address: | 14724 Ventura Blvd Suite 1100 Sherman Oaks, CA - 914033501 |
Business Phone Number: | 8184266064 |
Business Fax Number: | |
Mailing Address: | 14724 Ventura Blvd., Suite 1100 SHERMAN OAKS |
State: | CA |
Postal Code: | 91403 |
Phone Number: | 8184266064 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS19668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |