Healthcare Provider Details

I. General information

NPI: 1740369586
Provider Name (Legal Business Name): ANA MARIA SAEZ ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16350 FILBERT ST JUVENILE JUSTICE MENTAL HEALTH CAMP ASSESSMENT
SYLMAR CA
91342-1002
US

IV. Provider business mailing address

16350 FILBERT ST JUVENIEL JUSTICE MENTAL-CAMP ASSESSMENT UNIT
SYLMAR CA
91342-1002
US

V. Phone/Fax

Practice location:
  • Phone: 818-364-6881
  • Fax:
Mailing address:
  • Phone: 818-364-6881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS29736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: