MEDICARE: ROSA LINDA OGAS 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	101YM0800X	Mental Health Counselor	88878	CA
2	1041C0700X	Clinical Social Worker	88878	CA
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1437430360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA LINDA OGAS LCSW

Provider Business Mailing Address
First Line	:	1210 GLORIA DR
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-5806
Country	:	US
Telephone Number	:	831-262-2927
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 GLORIA DR
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-5806
Country	:	US
Telephone Number	:	831-262-2927
Fax Number	:

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

Provider Enumeration Date	:	09/06/2011
Last Update Date	:	05/05/2026

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