Provider Demographics
| NPI: | 1316327075 |
|---|---|
| Name: | ARAUJO, LOURDES ENCARNACION |
| Entity type: | Individual |
| Prefix: | MS |
| First Name: | LOURDES |
| Middle Name: | ENCARNACION |
| Last Name: | ARAUJO |
| Suffix: | |
| Gender: | F |
| 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
| State | License ID | Taxonomies |
|---|---|---|
| CA | ASW 29721 | 1041C0700X |
| 225400000X, 171M00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical |
| No | 225400000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner |