Individual provider · Type 1 NPI

Autumn Fawn Stewart Luckey

Community Health Worker · Los Angeles, CA

NPI number 1164047510 Active

Practice location

11303 W Washington Blvd Ste 200
Los Angeles, CA 90066-6003

Call (310) 482-6600 Map

Fax (310) 313-0973

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNone listed
Rehabilitation Practitioner 225400000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1164047510

Autumn Fawn Stewart Luckey's National Provider Identifier is 1164047510, issued on Jun 11, 2020. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 8, 2025.