Provider Demographics
NPI:1427317965
Name:RODAS, LINA TERESA (MSW)
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:TERESA
Last Name:RODAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 W SUNSET BLVD # 53
Mailing Address - Street 2:ATTN:MICHELE PARROTT
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6062
Mailing Address - Country:US
Mailing Address - Phone:323-361-3909
Mailing Address - Fax:323-913-3614
Practice Address - Street 1:4650 W SUNSET BLVD # 53
Practice Address - Street 2:ATTN:MICHELE PARROTT
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-361-3909
Practice Address - Fax:323-913-3614
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW79645101YM0800X
104100000X, 171M00000X
CA999511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator