Provider Demographics
NPI:1619344645
Name:GEORGEA R. MUSCHEL
Entity Type:Organization
Organization Name:GEORGEA R. MUSCHEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGEA
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:MUSCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:310-702-8233
Mailing Address - Street 1:1460 7TH ST STE 306
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2632
Mailing Address - Country:US
Mailing Address - Phone:310-452-9166
Mailing Address - Fax:310-452-1743
Practice Address - Street 1:1460 7TH ST STE 306
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2632
Practice Address - Country:US
Practice Address - Phone:310-452-9166
Practice Address - Fax:310-452-1743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS45121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty