Provider Demographics
NPI:1104197490
Name:LOZANO-ARCINIEGAS, ROCIO (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROCIO
Middle Name:
Last Name:LOZANO-ARCINIEGAS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 RED BANKS RD
Mailing Address - Street 2:STE A
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5751
Mailing Address - Country:US
Mailing Address - Phone:252-758-4810
Mailing Address - Fax:252-758-3790
Practice Address - Street 1:502 RED BANKS RD
Practice Address - Street 2:SUITE A
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5751
Practice Address - Country:US
Practice Address - Phone:252-758-4810
Practice Address - Fax:252-758-3790
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0076041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical