Provider Demographics
NPI:1942510037
Name:ROSAS-SANCHEZ, ANEISSA MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:ANEISSA
Middle Name:MARIE
Last Name:ROSAS-SANCHEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ANEISSA
Other - Middle Name:MARIE
Other - Last Name:ROSAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:92 LOUISE ST
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-4760
Mailing Address - Country:US
Mailing Address - Phone:415-456-7724
Mailing Address - Fax:
Practice Address - Street 1:92 LOUISE ST
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-4760
Practice Address - Country:US
Practice Address - Phone:415-456-7724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA605091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical