Healthcare Provider Details

I. General information

NPI: 1043369986
Provider Name (Legal Business Name): JESSICA MARIE ROJAS ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MASON CIR
CONCORD CA
94520-1203
US

IV. Provider business mailing address

49 WARREN WAY
PITTSBURG CA
94565-3742
US

V. Phone/Fax

Practice location:
  • Phone: 925-521-1270
  • Fax: 925-521-1279
Mailing address:
  • Phone: 510-672-3602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW 18631
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: