Provider Demographics
NPI:1851441950
Name:UMANZOR-PARADA, LAURA SUYAPA (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:SUYAPA
Last Name:UMANZOR-PARADA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 SUNSET BLVD., STE 600
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027
Mailing Address - Country:US
Mailing Address - Phone:323-671-2606
Mailing Address - Fax:323-913-4045
Practice Address - Street 1:5000 SUNSET BLVD., STE 600
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-671-2606
Practice Address - Fax:323-913-4045
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 26676101YM0800X
CALCSW772611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health