MEDICARE: SACHA V ROOD LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	379488	CA

General Provider Information

NPI Number	:	1265304067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SACHA V ROOD LCSW

Provider Business Mailing Address
First Line	:	3063 NE RALEIGH CT
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-8182
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3063 NE RALEIGH CT
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-8182
Country	:	US
Telephone Number	:	917-575-9812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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