Provider Demographics
NPI:1518044908
Name:FISCHKES, ROSE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:
Last Name:FISCHKES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:
Other - Last Name:FISCHKES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:20628 DE FOREST ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2403
Mailing Address - Country:US
Mailing Address - Phone:818-802-8121
Mailing Address - Fax:818-883-4335
Practice Address - Street 1:21201 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303
Practice Address - Country:US
Practice Address - Phone:818-802-8121
Practice Address - Fax:818-883-4335
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS165811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical