Provider Demographics
NPI:1225168305
Name:ARELLANO, NAOMI (MSW)
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E 3RD ST
Mailing Address - Street 2:910
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-1644
Mailing Address - Country:US
Mailing Address - Phone:213-922-8134
Mailing Address - Fax:213-680-3225
Practice Address - Street 1:420 E 3RD ST
Practice Address - Street 2:910
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1644
Practice Address - Country:US
Practice Address - Phone:213-922-8134
Practice Address - Fax:213-680-3225
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2015-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA269591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical