Provider Demographics
NPI:1316327075
Name:ARAUJO, LOURDES ENCARNACION
Entity type:Individual
Prefix:MS
First Name:LOURDES
Middle Name:ENCARNACION
Last Name:ARAUJO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W SUNSET BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5863
Mailing Address - Country:US
Mailing Address - Phone:213-392-5500
Mailing Address - Fax:
Practice Address - Street 1:550 S VERMONT AVE 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES,
Practice Address - State:CA
Practice Address - Zip Code:90020
Practice Address - Country:US
Practice Address - Phone:213-639-0677
Practice Address - Fax:213-637-0790
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 297211041C0700X
225400000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner