Provider Demographics
NPI:1316483746
Name:NAVARRO, LUIS MIGUEL (LCSW)
Entity type:Individual
Prefix:MR
First Name:LUIS
Middle Name:MIGUEL
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 S HERBERT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90023-3312
Mailing Address - Country:US
Mailing Address - Phone:323-392-9132
Mailing Address - Fax:
Practice Address - Street 1:2957 ALLESANDRO ST APT 106
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-3457
Practice Address - Country:US
Practice Address - Phone:323-392-9132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical