Provider Demographics
NPI:1548330400
Name:LONDONO, LILIANA PATRICIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:LILIANA
Middle Name:PATRICIA
Last Name:LONDONO
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 1:3325 W PICO BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-4572
Mailing Address - Country:US
Mailing Address - Phone:213-392-0394
Mailing Address - Fax:
Practice Address - Street 1:3325 W PICO BLVD APT 1
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-4572
Practice Address - Country:US
Practice Address - Phone:213-392-0394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical