Healthcare Provider Details

I. General information

NPI: 1255765251
Provider Name (Legal Business Name): CHIKA M ROJAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHICKA M WILLIAMS

II. Dates (important events)

Enumeration Date: 08/26/2013
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HARRISON ST FL 7
OAKLAND CA
94612-3466
US

IV. Provider business mailing address

7001 EAST PKWY
SACRAMENTO CA
95823-2501
US

V. Phone/Fax

Practice location:
  • Phone: 510-625-2856
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number89311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: