Provider Demographics
NPI:1265643142
Name:AKUAMOAH, EMMANUEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:
Last Name:AKUAMOAH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 N LA BREA AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-5743
Mailing Address - Country:US
Mailing Address - Phone:310-431-4135
Mailing Address - Fax:800-960-8389
Practice Address - Street 1:630 N LA BREA AVE STE 112
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-5743
Practice Address - Country:US
Practice Address - Phone:951-237-7044
Practice Address - Fax:800-960-8389
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS260001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical