Provider Demographics
NPI:1124217658
Name:VENEGAS, LUZ MARIA (ACSW)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:MARIA
Last Name:VENEGAS
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CAYUGA ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2626
Mailing Address - Country:US
Mailing Address - Phone:831-796-3042
Mailing Address - Fax:831-751-6771
Practice Address - Street 1:115 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2626
Practice Address - Country:US
Practice Address - Phone:831-796-3042
Practice Address - Fax:831-751-6771
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
205911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical