Provider Demographics
NPI:1821179409
Name:LUEVANO, ROCIO ORTIZ (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROCIO
Middle Name:ORTIZ
Last Name:LUEVANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ROCIO
Other - Middle Name:ORTIZ
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4701 E CESAR E CHAVEZ AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1209
Mailing Address - Country:US
Mailing Address - Phone:323-267-3400
Mailing Address - Fax:323-260-5201
Practice Address - Street 1:4701 E CESAR E CHAVEZ AVE FL 2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1209
Practice Address - Country:US
Practice Address - Phone:323-267-3455
Practice Address - Fax:323-260-5201
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical