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Contact Information

CHARLES D CARR, ACSW
1224 VINE ST
LOS ANGELES, CA90038
 Phone: 323-769-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHARLES D CARR · (Male)

NPI # 1003207291
Status Active
Credentials ACSW
Entity Individual
Enumeration date 02/10/2015
Last updated 08/17/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # ASW79885
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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