Provider Demographics
NPI:1437255783
Name:STEIN, ROCHELLE (MSW,LCSW)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 S PALM AVE
Mailing Address - Street 2:UNIT 6
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7770
Mailing Address - Country:US
Mailing Address - Phone:941-388-1440
Mailing Address - Fax:
Practice Address - Street 1:777 S PALM AVE
Practice Address - Street 2:UNIT 6
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7770
Practice Address - Country:US
Practice Address - Phone:941-388-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW7148101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBCBSOtherZ044D
FLP00174051OtherRAILROAD
FLZ044DOtherMEDICARE
FLZ044DOtherMENTAL HEALTH NETWORK