Provider Demographics
NPI:1437798527
Name:LUNA, MARIBEL (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MARIBEL
Middle Name:
Last Name:LUNA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MARIBEL
Other - Middle Name:
Other - Last Name:LUNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:3804 104TH ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-1965
Mailing Address - Country:US
Mailing Address - Phone:917-662-8929
Mailing Address - Fax:
Practice Address - Street 1:3716 108TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2025
Practice Address - Country:US
Practice Address - Phone:718-651-4000
Practice Address - Fax:718-424-7776
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103529104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker