Provider Demographics
NPI:1710307913
Name:SMOKLER, MARTA (LCSW)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:SMOKLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S THURSTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3121
Mailing Address - Country:US
Mailing Address - Phone:310-435-8758
Mailing Address - Fax:310-471-3079
Practice Address - Street 1:121 S THURSTON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3121
Practice Address - Country:US
Practice Address - Phone:310-435-8758
Practice Address - Fax:310-471-3079
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-26
Last Update Date:2014-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS13462101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health