Provider Demographics
NPI:1427198951
Name:TORRENS, MARIE CELESTE (MSSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIE CELESTE
Middle Name:
Last Name:TORRENS
Suffix:
Gender:F
Credentials:MSSW LCSW
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:
Other - Last Name:TORRENS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSSW LCSW
Mailing Address - Street 1:2221 MANNING AVE
Mailing Address - Street 2:GARDEN SUITE
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2001
Mailing Address - Country:US
Mailing Address - Phone:310-474-6714
Mailing Address - Fax:310-234-4034
Practice Address - Street 1:2221 MANNING AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-2001
Practice Address - Country:US
Practice Address - Phone:310-474-6714
Practice Address - Fax:310-234-4034
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS6275104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW6275Medicare ID - Type Unspecified