Provider Demographics
NPI:1073829768
Name:AYNALEM, LORENA E (LCSW)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:E
Last Name:AYNALEM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LORENA
Other - Middle Name:
Other - Last Name:UMANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24040 WHITEWATER DR
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-4936
Mailing Address - Country:US
Mailing Address - Phone:213-215-0130
Mailing Address - Fax:
Practice Address - Street 1:27951 SMYTH DR
Practice Address - Street 2:103
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4048
Practice Address - Country:US
Practice Address - Phone:818-584-6367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI36171041C0700X
CAASW28599104100000X
CA274071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker