Provider Demographics
NPI:1093364465
Name:LUTZ, ASHER DENISE (LCSW, MS, PPSC)
Entity Type:Individual
Prefix:
First Name:ASHER
Middle Name:DENISE
Last Name:LUTZ
Suffix:
Gender:F
Credentials:LCSW, MS, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30650 RANCHO CALIFORNIA RD
Mailing Address - Street 2:SUITE D406 #359
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591
Mailing Address - Country:US
Mailing Address - Phone:619-301-6788
Mailing Address - Fax:
Practice Address - Street 1:28459 PLYMOUTH WAY
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3544
Practice Address - Country:US
Practice Address - Phone:619-301-6788
Practice Address - Fax:949-249-7001
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1359900819101YA0400X
CAASW82933104100000X
CA1101521041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool