Provider Demographics
NPI:1942426754
Name:HUERTA, MARIA LUISA (LCSW)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:LUISA
Last Name:HUERTA
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 1:4076 3RD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2129
Mailing Address - Country:US
Mailing Address - Phone:858-776-8485
Mailing Address - Fax:619-298-2698
Practice Address - Street 1:4076 3RD AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2129
Practice Address - Country:US
Practice Address - Phone:858-776-8485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW268941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical