Provider Demographics
NPI:1891912762
Name:MUSCHEL, GEORGEA ROBIN (LCSW)
Entity Type:Individual
Prefix:
First Name:GEORGEA
Middle Name:ROBIN
Last Name:MUSCHEL
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 1:637 STRAND ST
Mailing Address - Street 2:APT. C
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2495
Mailing Address - Country:US
Mailing Address - Phone:310-392-8233
Mailing Address - Fax:310-452-1743
Practice Address - Street 1:1460 7TH ST
Practice Address - Street 2:SUITE 306
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2629
Practice Address - Country:US
Practice Address - Phone:310-452-9166
Practice Address - Fax:310-452-1743
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 45121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical