Provider Demographics
NPI:1467609974
Name:CLARK-FALER, ELANA MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELANA
Middle Name:MARIE
Last Name:CLARK-FALER
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 1:3053 DELAWARE AVENUE
Mailing Address - Street 2:UNIT B
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404
Mailing Address - Country:US
Mailing Address - Phone:888-851-2666
Mailing Address - Fax:818-446-1575
Practice Address - Street 1:3053 DELAWARE AVENUE
Practice Address - Street 2:UNIT B
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404
Practice Address - Country:US
Practice Address - Phone:888-851-2666
Practice Address - Fax:818-446-1575
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS233401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical