Provider Demographics
NPI:1114256047
Name:RITZ, MARIE ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ANN
Last Name:RITZ
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 1:13749 RIVERSIDE DR
Mailing Address - Street 2:SUITE #101
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2415
Mailing Address - Country:US
Mailing Address - Phone:818-990-1428
Mailing Address - Fax:818-990-1428
Practice Address - Street 1:13749 RIVERSIDE DR
Practice Address - Street 2:SUITE #101
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2415
Practice Address - Country:US
Practice Address - Phone:818-990-1428
Practice Address - Fax:818-990-1428
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS207671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical