Provider Demographics
NPI:1083072409
Name:MARIA LIU, LICENSED CLINICAL SOCIAL WORKER, A P.C.
Entity Type:Organization
Organization Name:MARIA LIU, LICENSED CLINICAL SOCIAL WORKER, A P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:818-754-2469
Mailing Address - Street 1:23241 VENTURA BLVD
Mailing Address - Street 2:100A
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1003
Mailing Address - Country:US
Mailing Address - Phone:818-754-2469
Mailing Address - Fax:
Practice Address - Street 1:23241 VENTURA BLVD
Practice Address - Street 2:100A
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1003
Practice Address - Country:US
Practice Address - Phone:818-754-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 262541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty