Provider Demographics
NPI:1093014581
Name:AFRIAT, NAOMI LEWIS (LCSW)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:LEWIS
Last Name:AFRIAT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:902 S HOLT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2008
Mailing Address - Country:US
Mailing Address - Phone:347-885-9227
Mailing Address - Fax:
Practice Address - Street 1:914 S ROBERTSON BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1600
Practice Address - Country:US
Practice Address - Phone:347-885-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083360-1104100000X
NY083361-01104100000X
CA961501041C0700X
NY086802104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty