Provider Demographics
NPI:1124589841
Name:SAENZ, MICHA (LCSW)
Entity type:Individual
Prefix:
First Name:MICHA
Middle Name:
Last Name:SAENZ
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 1:5309 SUMMERWIND WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-6525
Mailing Address - Country:US
Mailing Address - Phone:661-859-4686
Mailing Address - Fax:
Practice Address - Street 1:5309 SUMMERWIND WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6525
Practice Address - Country:US
Practice Address - Phone:661-859-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1167881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical