Provider Demographics
NPI:1417949454
Name:GECHTMAN, LUCILLE (MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LUCILLE
Middle Name:
Last Name:GECHTMAN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:LUCILLE
Other - Middle Name:
Other - Last Name:RISKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13205 BLOOMFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3207
Mailing Address - Country:US
Mailing Address - Phone:818-784-3181
Mailing Address - Fax:818-783-9791
Practice Address - Street 1:13205 BLOOMFIELD ST
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3207
Practice Address - Country:US
Practice Address - Phone:818-784-3181
Practice Address - Fax:818-783-9791
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 60511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW6051Medicare ID - Type Unspecified