Provider Demographics
NPI:1740369586
Name:SAEZ, ANA MARIA (ACSW)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:SAEZ
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 1:16350 FILBERT ST
Mailing Address - Street 2:JUVENIEL JUSTICE MENTAL-CAMP ASSESSMENT UNIT
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1002
Mailing Address - Country:US
Mailing Address - Phone:818-364-6881
Mailing Address - Fax:
Practice Address - Street 1:16350 FILBERT ST
Practice Address - Street 2:JUVENILE JUSTICE MENTAL HEALTH CAMP ASSESSMENT
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1002
Practice Address - Country:US
Practice Address - Phone:818-364-6881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS297361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCS29736OtherBBS