Provider Demographics
NPI:1841426855
Name:LITZ, PIA CRISTINA (LCSW)
Entity type:Individual
Prefix:MISS
First Name:PIA
Middle Name:CRISTINA
Last Name:LITZ
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 1:330 SEA RIDGE RD APT 4
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4342
Mailing Address - Country:US
Mailing Address - Phone:609-682-2893
Mailing Address - Fax:
Practice Address - Street 1:330 SEA RIDGE RD APT 4
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4342
Practice Address - Country:US
Practice Address - Phone:609-682-2893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA390200000XOtherSTUDENTS, HEALTH CARE