Provider Demographics
NPI:1841910130
Name:MANSFIELD, ROSALINDA (CASE MANAGER)
Entity type:Individual
Prefix:
First Name:ROSALINDA
Middle Name:
Last Name:MANSFIELD
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 N ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-4657
Mailing Address - Country:US
Mailing Address - Phone:209-381-6858
Mailing Address - Fax:
Practice Address - Street 1:1640 N STREET SUITE 100
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-4657
Practice Address - Country:US
Practice Address - Phone:209-201-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health