Provider Demographics
NPI:1376847152
Name:CARUSO, LINSEY L (ASW 19803)
Entity Type:Individual
Prefix:
First Name:LINSEY
Middle Name:L
Last Name:CARUSO
Suffix:
Gender:F
Credentials:ASW 19803
Other - Prefix:
Other - First Name:LINSEY
Other - Middle Name:L
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 N SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-2822
Mailing Address - Country:US
Mailing Address - Phone:323-528-8038
Mailing Address - Fax:323-277-0718
Practice Address - Street 1:2629 CLARENDON AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4119
Practice Address - Country:US
Practice Address - Phone:323-584-3710
Practice Address - Fax:323-277-0718
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 19803101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health