| Sari Susanna Carlson, LCSW | |
|
2001 Santa Monica Blvd Ste 860w, Santa Monica, CA 90404-2189 | |
| (310) 899-7500 | |
| Not Available |
| Full Name | Sari Susanna Carlson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2001 Santa Monica Blvd Ste 860w, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114483138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009654 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 102456 (California) | Primary |
| Entity Name | Nuvance Health Medical Practice Ct Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130 |
| Entity Name | Nuvance Health Medical Practice, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20170530001874 |
| Mailing Address | Practice Location Address |
|---|---|
| Sari Susanna Carlson, LCSW 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707 | Sari Susanna Carlson, LCSW 2001 Santa Monica Blvd Ste 860w, Santa Monica, CA 90404-2189 Ph: (310) 899-7500 |
Ms. Shoshana Levine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2665 30th St, Suite 213, Santa Monica, CA 90405 Phone: 310-998-7253 Fax: 310-829-2573 | |
Juliana Carranza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1339 20th St, Santa Monica, CA 90404 Phone: 310-829-8609 | |
Miss Elizabeth Cruz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1533 Euclid Street, Santa Monica, CA 90404 Phone: 310-451-9747 Fax: 310-451-6106 | |
Pam Haines Paige, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1460 7th Street, Suite 301, Santa Monica, CA 90401 Phone: 310-395-0454 | |
Elena Gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2510 Main St, Suite 201, Santa Monica, CA 90405 Phone: 310-399-6670 Fax: 310-392-6043 | |
John Peters, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1017 10th St Apt 3, Santa Monica, CA 90403 Phone: 424-487-3161 | |
Ms. Tracy Ann Livecchi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 530 Wilshire Blvd Ste 310, Santa Monica, CA 90401 Phone: 310-827-6301 |