Provider Demographics
NPI:1598934499
Name:METSCHER, LOLITA SAPRIEL (MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LOLITA
Middle Name:SAPRIEL
Last Name:METSCHER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:LOLITA
Other - Middle Name:
Other - Last Name:SAPRIEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW LCSW
Mailing Address - Street 1:429 ST MONICA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401
Mailing Address - Country:US
Mailing Address - Phone:310-458-1943
Mailing Address - Fax:
Practice Address - Street 1:429 ST MONICA BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401
Practice Address - Country:US
Practice Address - Phone:310-458-1943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical