Laurita Lancaster Avalos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 11803 Issued in CA

Practice address

2810 E. del Mar
Suite 5
Pasadena, CA 91107-4322

Phone

(626) 792-8083

Fax

(626) 568-9276

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932292711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 E. DEL MAR",
            "address_2": "SUITE 5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-792-8083",
            "fax_number": "626-568-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 E. DEL MAR",
            "address_2": "SUITE 5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074322",
            "telephone_number": "626-792-8083",
            "fax_number": "626-568-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "LAURITA",
        "middle_name": "LANCASTER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 11803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LCS11803",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Auyeung
• Michael A Avakian, DPM
• Rafael Avakyan, M.D.
• Caroline Diane Avalos
• Clara Avalos
• Patricia G Avalos
• Avaly Health Medical Corporation
• Liliyan Avansian Adegani
• Avdalyan Dental Corporation
• Tigran Avdalyan, DDS

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.