Provider Demographics
NPI:1619172301
Name:ADMASSU, SENAIT
Entity Type:Individual
Prefix:
First Name:SENAIT
Middle Name:
Last Name:ADMASSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3731 STOCKER ST STE 211
Mailing Address - Street 2:
Mailing Address - City:VIEW PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90008-5118
Mailing Address - Country:US
Mailing Address - Phone:213-909-0985
Mailing Address - Fax:
Practice Address - Street 1:3731 STOCKER ST STE 211
Practice Address - Street 2:
Practice Address - City:VIEW PARK
Practice Address - State:CA
Practice Address - Zip Code:90008-5118
Practice Address - Country:US
Practice Address - Phone:213-909-0985
Practice Address - Fax:213-929-5102
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27950104100000X
CA80977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker