Healthcare Provider Details

I. General information

NPI: 1598275661
Provider Name (Legal Business Name): VIVIANA JANET ROJAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 CORPORATE CT
BAKERSFIELD CA
93311-8706
US

IV. Provider business mailing address

4800 CORPORATE CT
BAKERSFIELD CA
93311-8706
US

V. Phone/Fax

Practice location:
  • Phone: 661-527-5000
  • Fax:
Mailing address:
  • Phone: 661-527-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number136330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: