Provider Demographics
NPI:1235260399
Name:KING, LUVONNE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:LUVONNE
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 W ATHENS BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-3921
Mailing Address - Country:US
Mailing Address - Phone:323-754-3895
Mailing Address - Fax:
Practice Address - Street 1:702 W ATHENS BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-3921
Practice Address - Country:US
Practice Address - Phone:323-754-3895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2024-02-08
Deactivation Date:2023-03-28
Deactivation Code:
Reactivation Date:2023-11-22
Provider Licenses
StateLicense IDTaxonomies
CALCS 223961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical