Provider Demographics
NPI:1588171052
Name:CORDOVA-ZEPEDA, LUZ (LCSW)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:CORDOVA-ZEPEDA
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 1:1200 PUNTA GORDA ST SPC 37
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3584
Mailing Address - Country:US
Mailing Address - Phone:805-680-1272
Mailing Address - Fax:
Practice Address - Street 1:1200 PUNTA GORDA ST SPC 37
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3584
Practice Address - Country:US
Practice Address - Phone:805-680-1272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-05
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA101YM0800X
2877381041S0200X
CA2877381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool