Provider Demographics
NPI:1447698758
Name:CREAMER, ELLEN JAMESON (LCSW)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:JAMESON
Last Name:CREAMER
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 1:8950 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 341
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3561
Mailing Address - Country:US
Mailing Address - Phone:310-339-4700
Mailing Address - Fax:310-278-6303
Practice Address - Street 1:450 S SWALL DR
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3606
Practice Address - Country:US
Practice Address - Phone:310-339-4700
Practice Address - Fax:310-278-6303
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-08
Last Update Date:2013-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS70231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical