Healthcare Provider Details

I. General information

NPI: 1871410936
Provider Name (Legal Business Name): CHRISTIAN ALEJANDRO ROCA LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 W THOMAS RD STE 250
PHOENIX AZ
85037-3362
US

IV. Provider business mailing address

4626 N 16TH ST APT 1406
PHOENIX AZ
85016-5151
US

V. Phone/Fax

Practice location:
  • Phone: 480-712-4600
  • Fax:
Mailing address:
  • Phone: 480-712-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23623
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: