Provider Demographics
NPI:1376670240
Name:ALLINA, ROSALYN GAY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROSALYN
Middle Name:GAY
Last Name:ALLINA
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 1:9420 FORTUNE LN
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-4408
Mailing Address - Country:US
Mailing Address - Phone:619-540-9420
Mailing Address - Fax:
Practice Address - Street 1:9420 FORTUNE LN
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-4408
Practice Address - Country:US
Practice Address - Phone:619-540-9420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS196031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical