Provider Demographics
NPI:1225929912
Name:MENSCHEL, KYLE ROBINSON (MSW)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:ROBINSON
Last Name:MENSCHEL
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 W OLYMPIC BLVD STE 399
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1530
Mailing Address - Country:US
Mailing Address - Phone:424-416-7892
Mailing Address - Fax:310-857-2090
Practice Address - Street 1:11500 W OLYMPIC BLVD STE 399
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1530
Practice Address - Country:US
Practice Address - Phone:424-416-7892
Practice Address - Fax:310-857-2090
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1119401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical