Provider Demographics
NPI:1902274806
Name:ROSCHELLI, SONIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:
Last Name:ROSCHELLI
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 1:1624 HOLMAN ST
Mailing Address - Street 2:APT 8
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-3854
Mailing Address - Country:US
Mailing Address - Phone:540-808-6750
Mailing Address - Fax:
Practice Address - Street 1:303 JACKSON HILL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-7407
Practice Address - Country:US
Practice Address - Phone:281-200-9120
Practice Address - Fax:281-200-9765
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical