Provider Demographics
NPI:1699454918
Name:LUZI, MICHELLE CATHERINE (ACSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:CATHERINE
Last Name:LUZI
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27717 SEQUOIA GLEN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1311
Mailing Address - Country:US
Mailing Address - Phone:805-663-8048
Mailing Address - Fax:
Practice Address - Street 1:27717 SEQUOIA GLEN DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91354-1311
Practice Address - Country:US
Practice Address - Phone:805-663-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA810571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical