Provider Demographics
NPI:1619126018
Name:ROJAS, GLORIA LETICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:LETICIA
Last Name:ROJAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 INDUSTRY WAY STE C
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-4042
Mailing Address - Country:US
Mailing Address - Phone:562-889-1526
Mailing Address - Fax:
Practice Address - Street 1:2620 INDUSTRY WAY STE C
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-4042
Practice Address - Country:US
Practice Address - Phone:562-889-1526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS291911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical