Provider Demographics
NPI:1427199678
Name:ROSSETTER, ELSA AURORA (ASW)
Entity Type:Individual
Prefix:MS
First Name:ELSA
Middle Name:AURORA
Last Name:ROSSETTER
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:'DOLLY'
Other - Middle Name:AURORA
Other - Last Name:ROSSETTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ASW
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:661-868-6601
Mailing Address - Fax:661-868-6666
Practice Address - Street 1:5121 STOCKDALE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309
Practice Address - Country:US
Practice Address - Phone:661-868-5026
Practice Address - Fax:661-868-6601
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28853104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker