EVELYN JOHANA DE LA ROSA LCSW88663 NPI 1912307687

NPI Information

NPI: 1912307687
Provider Name: EVELYN JOHANA DE LA ROSA, LCSW88663
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1 HOPE DR
TUSTIN, CA
ZIP 92782
Phone: (714) 247-0300
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Evelyn Johana De La Rosa, LCSW88663 is a mental health counselor in Tustin, CA. Evelyn Johana De La Rosa, LCSW88663 NPI is 1912307687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 HOPE DR
TUSTIN, CA
ZIP 92782-221
Phone: (714) 247-0300
Fax: (714) 259-1598

The NPI 1912307687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/29/2014 and was last updated on 6/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCSW88663	CALIFORNIA	Yes
2	101YM0800X	Counselor	Mental Health	ASW72078	CALIFORNIA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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