Provider Demographics
NPI:1417181025
Name:RODAS, SARA MARITZA (MSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARITZA
Last Name:RODAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-1511
Mailing Address - Country:US
Mailing Address - Phone:213-629-6200
Mailing Address - Fax:
Practice Address - Street 1:3731 STOCKER ST
Practice Address - Street 2:SUITE 105
Practice Address - City:VIEW PARK
Practice Address - State:CA
Practice Address - Zip Code:90008-5118
Practice Address - Country:US
Practice Address - Phone:323-296-2446
Practice Address - Fax:323-299-3159
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA788031041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical