MEDICARE: ROSA OREA

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	251B00000X	Case Management Agency
2	1041S0200X	School Social Worker
3	101Y00000X	Counselor
4	1041C0700X	Clinical Social Worker	ASW107995	CA

General Provider Information

NPI Number	:	1588549521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA OREA

Provider Business Mailing Address
First Line	:	90 GRANDVIEW ST UNIT D102
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-3068
Country	:	US
Telephone Number	:	831-295-7007
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 MISSION ST STE 100
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-3747
Country	:	US
Telephone Number	:	831-529-4197
Fax Number	:

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

Provider Enumeration Date	:	08/08/2025
Last Update Date	:	08/08/2025

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Directions to “ ROSA OREA ” Practice Location

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