1780506089 NPI number — MS. YUNIBA LUCERO GONZALEZ LMSW

Table of content: MS. YUNIBA LUCERO GONZALEZ LMSW (NPI 1780506089)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780506089 NPI number — MS. YUNIBA LUCERO GONZALEZ LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GONZALEZ
Provider First Name:
YUNIBA
Provider Middle Name:
LUCERO
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BANOS
Provider Other First Name:
YUNIBA
Provider Other Middle Name:
LUCERO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780506089
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3101 N CENTRAL AVE STE 550
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85012-2635
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-230-7373
Provider Business Mailing Address Fax Number:
602-682-7455

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1960 E PALO VERDE ST STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YUMA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85365-3537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-230-7373
Provider Business Practice Location Address Fax Number:
928-339-8186
Provider Enumeration Date:
07/28/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  LMSW-08427T , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com