Provider Demographics
NPI:1114022852
Name:GRACIANO, ROCIO LIMON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROCIO
Middle Name:LIMON
Last Name:GRACIANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 FIDELIDAD DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4809
Mailing Address - Country:US
Mailing Address - Phone:626-590-7661
Mailing Address - Fax:626-369-7052
Practice Address - Street 1:4765 E 4TH ST
Practice Address - Street 2:RM 720
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1846
Practice Address - Country:US
Practice Address - Phone:323-266-7421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 208711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical