Provider Demographics
NPI:1700920360
Name:GAYLE E. SINGER, L.C.S.W., INC
Entity Type:Organization
Organization Name:GAYLE E. SINGER, L.C.S.W., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:310-614-6329
Mailing Address - Street 1:337 SOUTH BEVERLY DRIVE
Mailing Address - Street 2:SUITE #103
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:310-271-4749
Mailing Address - Fax:310-271-3551
Practice Address - Street 1:337 SOUTH BEVERLY DRIVE
Practice Address - Street 2:SUITE #103
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212
Practice Address - Country:US
Practice Address - Phone:310-271-4749
Practice Address - Fax:310-271-3551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW15307Medicare ID - Type Unspecified