Provider Demographics
NPI:1588851034
Name:ROCHA, AMARANTA (LCSW)
Entity Type:Individual
Prefix:
First Name:AMARANTA
Middle Name:
Last Name:ROCHA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMARANTHA
Other - Middle Name:
Other - Last Name:ROCHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2105 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-1317
Mailing Address - Country:US
Mailing Address - Phone:714-750-5118
Mailing Address - Fax:
Practice Address - Street 1:26891 SPRING ST
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-2692
Practice Address - Country:US
Practice Address - Phone:949-496-2931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker