Healthcare Provider Details

I. General information

NPI: 1386742609
Provider Name (Legal Business Name): PATRICIA HUBER LCSW MSW PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATRICIA HUBER LCSW MSW PPS

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 E NAPLES PLZ STE 317
LONG BEACH CA
90803-5091
US

IV. Provider business mailing address

PO BOX 334
SEAL BEACH CA
90740-0334
US

V. Phone/Fax

Practice location:
  • Phone: 714-754-6505
  • Fax: 562-245-8250
Mailing address:
  • Phone: 714-754-6505
  • Fax: 562-245-8250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS21064
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: