Provider Demographics
NPI:1528833589
Name:MENDOZA ALDAPE, LUZ MARIA (MSW; LCSW)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:MARIA
Last Name:MENDOZA ALDAPE
Suffix:
Gender:F
Credentials:MSW; LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 HIGHPOINTE DR UNIT 208
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-5903
Mailing Address - Country:US
Mailing Address - Phone:619-928-1395
Mailing Address - Fax:
Practice Address - Street 1:2025 N D ST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92405-3913
Practice Address - Country:US
Practice Address - Phone:909-475-8793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1182591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical