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Contact Information

MARK D BODENSTEIN, LCSW
550 S VERMONT AVE FL 3
LOS ANGELES, CA90020-1912
 Phone: 213-738-3071
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARK D BODENSTEIN · (Male)

NPI # 1013085034
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/30/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # LCS 9674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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