Provider Demographics
NPI:1407297765
Name:SUN, PERRI COHEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PERRI
Middle Name:COHEN
Last Name:SUN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:PERRI
Other - Middle Name:COHEN
Other - Last Name:MONKARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:321 N. LARCHMONT BLVD.
Mailing Address - Street 2:SUITE 622
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004
Mailing Address - Country:US
Mailing Address - Phone:323-839-4688
Mailing Address - Fax:
Practice Address - Street 1:321 N. LARCHMONT BLVD.
Practice Address - Street 2:SUITE 622
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004
Practice Address - Country:US
Practice Address - Phone:323-839-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X
CALCSW856051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner