Provider Demographics
NPI:1659847887
Name:SANDERS, ROCHELLE ALICIA (LSW)
Entity Type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:ALICIA
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7555 PINECREST LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5360
Mailing Address - Country:US
Mailing Address - Phone:216-338-3470
Mailing Address - Fax:
Practice Address - Street 1:7555 PINECREST LN
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-5360
Practice Address - Country:US
Practice Address - Phone:216-338-3470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0700262104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker