Provider Demographics
NPI:1578695318
Name:LOMAS, CAROL ELAINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ELAINE
Last Name:LOMAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:ELAINE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:601 S SAN RAFAEL AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2234
Mailing Address - Country:US
Mailing Address - Phone:626-628-4601
Mailing Address - Fax:
Practice Address - Street 1:115 W CALIFORNIA BLVD STE 156
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3005
Practice Address - Country:US
Practice Address - Phone:626-628-4601
Practice Address - Fax:626-441-9797
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical