Provider Demographics
NPI:1124217658
Name:VENEGAS, LUZ MARIA (LCSW)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:MARIA
Last Name:VENEGAS
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 1:24510 CALLE EL ROSARIO
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-9748
Mailing Address - Country:US
Mailing Address - Phone:831-214-2570
Mailing Address - Fax:
Practice Address - Street 1:115 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2626
Practice Address - Country:US
Practice Address - Phone:831-796-3042
Practice Address - Fax:831-751-6771
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical