Provider Demographics
NPI:1619097276
Name:ROWLES, RUSSANA LOUSIE (SOC WKR LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RUSSANA
Middle Name:LOUSIE
Last Name:ROWLES
Suffix:
Gender:F
Credentials:SOC WKR LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USC SCHOOL OF SOCIAL WORK FIELD DEPARTMENT
Mailing Address - Street 2:669 WEST 34TH STREET, MRF
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0411
Mailing Address - Country:US
Mailing Address - Phone:213-740-1424
Mailing Address - Fax:213-740-0789
Practice Address - Street 1:USC SCHOOL OF SOCIAL WORK FIELD DEPARTMENT
Practice Address - Street 2:669 WEST 34TH STREET, MRF
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0411
Practice Address - Country:US
Practice Address - Phone:213-740-1424
Practice Address - Fax:213-740-0789
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA140871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical