Provider Demographics
NPI:1427188614
Name:LOBELL, IAN ROSS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:IAN
Middle Name:ROSS
Last Name:LOBELL
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 1:8424 SANTA MONICA BLVD # A205
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-6233
Mailing Address - Country:US
Mailing Address - Phone:310-916-7356
Mailing Address - Fax:
Practice Address - Street 1:8424 SANTA MONICA BLVD # A205
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-6233
Practice Address - Country:US
Practice Address - Phone:310-916-7356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 231441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical