Healthcare Provider Details

I. General information

NPI: 1396286340
Provider Name (Legal Business Name): VIRNA NOEMI LOZADA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2017
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E BARD RD
OXNARD CA
93033-7265
US

IV. Provider business mailing address

205 N VENTURA RD
PORT HUENEME CA
93041-3065
US

V. Phone/Fax

Practice location:
  • Phone: 805-488-3644
  • Fax:
Mailing address:
  • Phone: 805-488-3644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW75112
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number95833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: