Provider Demographics
NPI:1487716635
Name:SALAZAR GUTIERREZ, ANA MARIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANA
Middle Name:MARIA
Last Name:SALAZAR GUTIERREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ANA
Other - Middle Name:MARIA
Other - Last Name:SALAZAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:13535 MURPHY HILL DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4680
Mailing Address - Country:US
Mailing Address - Phone:562-807-6155
Mailing Address - Fax:562-807-6101
Practice Address - Street 1:12501E IMPERIAL HIGHWAY
Practice Address - Street 2:SUITE 400
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90605
Practice Address - Country:US
Practice Address - Phone:562-807-6100
Practice Address - Fax:562-807-6101
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 149531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical