Provider Demographics
NPI:1497067201
Name:SCHARLIN, MICHELLE ETTIE (LCSW, MPH)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ETTIE
Last Name:SCHARLIN
Suffix:
Gender:F
Credentials:LCSW, MPH
Other - Prefix:MS
Other - First Name:MICHAL
Other - Middle Name:ETTIE
Other - Last Name:SCHARLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, MPH
Mailing Address - Street 1:UCLA CAPS
Mailing Address - Street 2:JOHN WOODEN CENTER WEST BOX 951556
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-1556
Mailing Address - Country:US
Mailing Address - Phone:310-825-0768
Mailing Address - Fax:310-206-7365
Practice Address - Street 1:UCLA CAPS
Practice Address - Street 2:JOHN WOODEN CENTER WEST BOX 951556
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1556
Practice Address - Country:US
Practice Address - Phone:310-825-0768
Practice Address - Fax:310-206-7365
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA278631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical