Basic Information
| Provider Information | |||||||||
| NPI: | 1104943166 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HASHIMOTO | ||||||||
| FirstName: | MARI | ||||||||
| MiddleName: | |||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 251 S EUCLID AVE | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911012717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3233376107 | ||||||||
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| Practice Location | |||||||||
| Address1: | 520 S LA FAYETTE PARK PL FL 3 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900571607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2132522100 | ||||||||
| FaxNumber: | 2132522199 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2007 | ||||||||
| LastUpdateDate: | 01/27/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | ASW13110 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | LCS26236 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.