MEDICARE: MRS. LILIEBETH SHAWNTE ESPIRITU-RAJ

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	225400000X	Rehabilitation Practitioner
3	101Y00000X	Counselor

General Provider Information

NPI Number	:	1235453911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LILIEBETH SHAWNTE ESPIRITU-RAJ

Provider Business Mailing Address
First Line	:	368 FELL ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-5144
Country	:	US
Telephone Number	:	415-861-0828
Fax Number	:	415-861-0257

Provider Business Practice Location Address
First Line	:	1443 7TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-3702
Country	:	US
Telephone Number	:	415-242-8034
Fax Number	:	415-861-0257

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	06/03/2025

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