Provider Demographics
NPI:1912147588
Name:ROCHLIN, MINDY H (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MINDY
Middle Name:H
Last Name:ROCHLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:H
Other - Last Name:KARRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:18121 W TERRA VERDE PL
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-1835
Mailing Address - Country:US
Mailing Address - Phone:661-753-6639
Mailing Address - Fax:
Practice Address - Street 1:44444 20TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2714
Practice Address - Country:US
Practice Address - Phone:661-951-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 249951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical