MEDICARE: LILIANA LLAMAS, LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1053262402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LILIANA LLAMAS, LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP.

Provider Business Mailing Address
First Line	:	751 S WEIR CANYON RD STE 157-1100
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92808-1962
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 S WEIR CANYON RD STE 157-1100
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92808-1962
Country	:	US
Telephone Number	:	951-317-0158
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LILIANA ENRIQUETA LLAMAS
Credential	:	LCSW
Telephone Number	:	951-317-0158

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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