Provider Demographics
NPI:1265682132
Name:ROSAS, ANA A (LLMSW)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:A
Last Name:ROSAS
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:A
Other - Last Name:SAUCEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW
Mailing Address - Street 1:904 SEYMOUR AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-2544
Mailing Address - Country:US
Mailing Address - Phone:517-787-9148
Mailing Address - Fax:
Practice Address - Street 1:1522 JOY AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-1933
Practice Address - Country:US
Practice Address - Phone:517-782-2550
Practice Address - Fax:517-783-1986
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010906101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical