Provider Demographics
NPI:1528814472
Name:NATALIA LUNA LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORP
Entity type:Organization
Organization Name:NATALIA LUNA LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:760-562-4010
Mailing Address - Street 1:52 W CORRELL RD
Mailing Address - Street 2:
Mailing Address - City:HEBER
Mailing Address - State:CA
Mailing Address - Zip Code:92249-9644
Mailing Address - Country:US
Mailing Address - Phone:760-562-4010
Mailing Address - Fax:
Practice Address - Street 1:52 W CORRELL RD
Practice Address - Street 2:
Practice Address - City:HEBER
Practice Address - State:CA
Practice Address - Zip Code:92249-9644
Practice Address - Country:US
Practice Address - Phone:760-562-4010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty