Provider Demographics
NPI:1942783014
Name:BOJORQUEZ, MARITZA (LCSW)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:BOJORQUEZ
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:PO BOX 3411
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91729-3411
Mailing Address - Country:US
Mailing Address - Phone:626-384-6940
Mailing Address - Fax:
Practice Address - Street 1:9431 HAVEN AVE STE 232
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5883
Practice Address - Country:US
Practice Address - Phone:909-999-3957
Practice Address - Fax:844-444-0212
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW809361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical