MEDICARE: LOS ANGELES UNIFIED SCHOOL DISTRICT

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	101YM0800X	Mental Health Counselor	21804	CA

General Provider Information

NPI Number	:	1972622017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS ANGELES UNIFIED SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	3649 S MUIRFIELD RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-5717
Country	:	US
Telephone Number	:	323-291-1306
Fax Number	:

Provider Business Practice Location Address
First Line	:	6519 8TH AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-4313
Country	:	US
Telephone Number	:	323-750-5167
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC SOCIAL WORKER
Name	:	MS. SHELIA LAYSHYL PICKFORD
Credential	:	LCSW
Telephone Number	:	323-395-7281

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	08/22/2020

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Directions to “LOS ANGELES UNIFIED SCHOOL DISTRICT ” Practice Location

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