Provider Demographics
NPI:1942382668
Name:ROSEMIRE, ROXANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:
Last Name:ROSEMIRE
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 1:5945 PACIFIC CENTER BLVD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-6305
Mailing Address - Country:US
Mailing Address - Phone:619-886-3766
Mailing Address - Fax:619-546-0859
Practice Address - Street 1:5945 PACIFIC CENTER BLVD
Practice Address - Street 2:SUITE 510
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-6305
Practice Address - Country:US
Practice Address - Phone:619-886-3766
Practice Address - Fax:619-546-0859
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA237031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical