Provider Demographics
NPI:1346794625
Name:SANCHEZ, ROXANA E (LSW)
Entity Type:Individual
Prefix:
First Name:ROXANA
Middle Name:E
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ROXANA
Other - Middle Name:E
Other - Last Name:ARANGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2514 N BROAD ST
Mailing Address - Street 2:ADULT OUTPATIENT SERVICES - 5A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-4013
Mailing Address - Country:US
Mailing Address - Phone:215-226-7100
Mailing Address - Fax:215-226-1278
Practice Address - Street 1:2514 N BROAD ST
Practice Address - Street 2:ADULT OUTPATIENT SERVICES - 5A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-4013
Practice Address - Country:US
Practice Address - Phone:215-226-7100
Practice Address - Fax:215-226-1278
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW133643101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker