Provider Demographics
NPI:1336839208
Name:VALDEZ, MARITZA (LCSW)
Entity type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:VALDEZ
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 1:1355 MCCANDLESS DR APT 344
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-8161
Mailing Address - Country:US
Mailing Address - Phone:408-334-3844
Mailing Address - Fax:
Practice Address - Street 1:1355 MCCANDLESS DR APT 344
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-8161
Practice Address - Country:US
Practice Address - Phone:408-334-3844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1133671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical