Provider Demographics
NPI:1073644431
Name:MUELLER, LUANA STEPHANIE (LCSW)
Entity Type:Individual
Prefix:
First Name:LUANA
Middle Name:STEPHANIE
Last Name:MUELLER
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 1:1551 KENDALL AVE
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3607
Mailing Address - Country:US
Mailing Address - Phone:805-384-9394
Mailing Address - Fax:805-383-6705
Practice Address - Street 1:1551 KENDALL AVE
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3607
Practice Address - Country:US
Practice Address - Phone:805-384-9394
Practice Address - Fax:805-383-6705
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW189011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical