Provider Demographics
NPI:1407974454
Name:WARREN WARSHOW, SUSAN MARY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:MARY
Last Name:WARREN WARSHOW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5583 SPRING HILL CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-5429
Mailing Address - Country:US
Mailing Address - Phone:818-378-1418
Mailing Address - Fax:818-597-1191
Practice Address - Street 1:5583 SPRING HILL CT
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-5429
Practice Address - Country:US
Practice Address - Phone:818-378-1418
Practice Address - Fax:818-597-1191
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS62911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical