Provider Demographics
NPI:1609068360
Name:GINSBURG-KRASNY, SASHA (LCSW)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:GINSBURG-KRASNY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:SASHA A
Other - Last Name:GUTSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:11340 W. OLYMPIC BLVD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064
Mailing Address - Country:US
Mailing Address - Phone:310-625-6981
Mailing Address - Fax:323-292-0053
Practice Address - Street 1:11340 W. OLYMPIC BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064
Practice Address - Country:US
Practice Address - Phone:310-625-6981
Practice Address - Fax:323-292-0053
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA259951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health