Provider Demographics
NPI:1366775413
Name:GLASHAUSSER, PAULA AZOURI (LCSW)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:AZOURI
Last Name:GLASHAUSSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:AZOURI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:321 S SHERBOURNE DR APT 306
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3399
Mailing Address - Country:US
Mailing Address - Phone:818-648-3950
Mailing Address - Fax:
Practice Address - Street 1:1617 COSMO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-6347
Practice Address - Country:US
Practice Address - Phone:310-808-5497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW744641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical