Provider Demographics
NPI:1154630168
Name:HUERTA, NORMA LIZETTE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:LIZETTE
Last Name:HUERTA
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 1:7621 CANOGA AVE.
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304
Mailing Address - Country:US
Mailing Address - Phone:818-598-6900
Mailing Address - Fax:818-598-3166
Practice Address - Street 1:7621 CANOGA AVE.
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304
Practice Address - Country:US
Practice Address - Phone:818-598-6900
Practice Address - Fax:818-598-3166
Is Sole Proprietor?:No
Enumeration Date:2010-09-26
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA305811041C0700X
CA761591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical