Provider Demographics
NPI:1427867332
Name:ROSSI, DENISE MARIAN (LCSW)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIAN
Last Name:ROSSI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1233
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-0233
Mailing Address - Country:US
Mailing Address - Phone:646-539-8849
Mailing Address - Fax:
Practice Address - Street 1:100 W BROADWAY STE 3000
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4467
Practice Address - Country:US
Practice Address - Phone:213-495-0728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical