Healthcare Provider Details
I. General information
NPI: 1679832232
Provider Name (Legal Business Name): ROXANA FLORES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/16/2012
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
255 W STANLEY AVE STE 100
VENTURA CA
93001-1331
US
IV. Provider business mailing address
5740 RALSTON ST STE 201
VENTURA CA
93003-6571
US
V. Phone/Fax
- Phone: 805-641-5000
- Fax:
- Phone: 805-289-1710
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: