Provider Demographics
NPI:1053825471
Name:VERDUZCO, JUDITH ALCIRA (LCSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ALCIRA
Last Name:VERDUZCO
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 1:3156 FOOTHILL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-4261
Mailing Address - Country:US
Mailing Address - Phone:818-741-1221
Mailing Address - Fax:818-688-8020
Practice Address - Street 1:3156 FOOTHILL BLVD STE C
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-4261
Practice Address - Country:US
Practice Address - Phone:818-741-1221
Practice Address - Fax:818-688-8020
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1004831041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical