Provider Demographics
NPI:1154780641
Name:OUZA, ANGEL (LMSW AND LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:
Last Name:OUZA
Suffix:
Gender:F
Credentials:LMSW AND LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 S MILPITAS BLVD APT 348
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3950
Mailing Address - Country:US
Mailing Address - Phone:424-422-0314
Mailing Address - Fax:
Practice Address - Street 1:1828 S MILPITAS BLVD APT 348
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3950
Practice Address - Country:US
Practice Address - Phone:424-422-0314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-12
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801091250171M00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator