Provider Demographics
NPI:1588818561
Name:DUGAS, MARIBEL MUNGUIA (LCSW, CIMHP)
Entity Type:Individual
Prefix:MRS
First Name:MARIBEL
Middle Name:MUNGUIA
Last Name:DUGAS
Suffix:
Gender:F
Credentials:LCSW, CIMHP
Other - Prefix:
Other - First Name:MARIBEL
Other - Middle Name:
Other - Last Name:MUNGUIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16710 DONMETZ ST.
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344
Mailing Address - Country:US
Mailing Address - Phone:818-388-7974
Mailing Address - Fax:833-469-1140
Practice Address - Street 1:17418 CHATSWORTH ST.
Practice Address - Street 2:SUITE 201B
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344
Practice Address - Country:US
Practice Address - Phone:818-388-3292
Practice Address - Fax:833-469-1140
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24834104100000X, 1041C0700X, 1041S0200X
CALCSW248341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool