Provider Demographics
NPI:1558660597
Name:TORRES, MARIA ROSA (LISW)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ROSA
Last Name:TORRES
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13500 SHAKER BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-1561
Mailing Address - Country:US
Mailing Address - Phone:216-262-3710
Mailing Address - Fax:
Practice Address - Street 1:2101 RICHMOND RD STE 1005
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1390
Practice Address - Country:US
Practice Address - Phone:216-356-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1451201.SUPV1041C0700X
OHS 0027849104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker