MEDICARE: MS. MARISOL ROSIU LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	136491	CA

General Provider Information

NPI Number	:	1326520305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARISOL ROSIU LCSW

Provider Business Mailing Address
First Line	:	2500 NEW MARKET DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95835-2238
Country	:	US
Telephone Number	:	916-824-5632
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NEW MARKET DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95835-2238
Country	:	US
Telephone Number	:	916-567-5640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2018
Last Update Date	:	01/20/2026

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