Individual ProviderCharles Scott DewellMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3201 Wilshire Blvd Ste 203, Santa Monica, CA 90403-2337(626) 351-9616PECOS EnrollmentBased on the most recent information from CMS, provider Charles Scott Dewell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003313032Provider TypeIndividualFull NameDewell, Charles ScottTitleMr.CredentialLMFTGenderMaleSole ProprietorNoEnumeration Date4/6/2018Last Updated4/6/2018Contact InformationPractice LocationPractice Address3201 Wilshire Blvd Ste 203, Santa Monica, CA 90403-2337Phone(626) 351-9616Fax(626) 351-9493Mailing LocationMailing Address650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107-2040Phone(626) 351-9616Fax(626) 351-9493Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense103080California