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NPI Code Detail

MEDICARE: MS. KATHARINE ANNE ROSAS LCSW

MEDICARE: MS. KATHARINE ANNE ROSAS 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
11041C0700XClinical Social Worker23329CA

General Provider Information

NPI Number : 1518083682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHARINE ANNE ROSAS LCSW
Provider Business Mailing Address
First Line : 16778 PINE CIR
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-2238
Country : US
Telephone Number : 714-240-1782
Fax Number :
Provider Business Practice Location Address
First Line : 23461 S POINTE DR STE 220
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1523
Country : US
Telephone Number : 949-900-3253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 06/06/2023

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