Provider Demographics
NPI:1235453911
Name:ESPIRITU-RAJ, LILIEBETH SHAWNTE
Entity Type:Individual
Prefix:MRS
First Name:LILIEBETH
Middle Name:SHAWNTE
Last Name:ESPIRITU-RAJ
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LILIEBETH
Other - Middle Name:SHAWNTE
Other - Last Name:ESPIRITU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:368 FELL ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5144
Mailing Address - Country:US
Mailing Address - Phone:415-861-0828
Mailing Address - Fax:415-861-0257
Practice Address - Street 1:1443 7TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-3702
Practice Address - Country:US
Practice Address - Phone:415-242-8034
Practice Address - Fax:415-861-0257
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator