Provider Demographics
NPI:1457942815
Name:PRICE, ROCHELLE (LMSW)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10944 E HIGAN CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-8849
Mailing Address - Country:US
Mailing Address - Phone:623-252-7542
Mailing Address - Fax:
Practice Address - Street 1:10944 E HIGAN CHERRY LN
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-8849
Practice Address - Country:US
Practice Address - Phone:623-252-7542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ20170425Medicaid
AZ20170425OtherAHCCCS