Provider Demographics
NPI:1013715507
Name:QUEJA, ROWENA (LCSW)
Entity type:Individual
Prefix:
First Name:ROWENA
Middle Name:
Last Name:QUEJA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RENA
Other - Middle Name:
Other - Last Name:QUEJA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2300 FOXHALL DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-3339
Mailing Address - Country:US
Mailing Address - Phone:907-317-0727
Mailing Address - Fax:
Practice Address - Street 1:2300 FOXHALL DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-3339
Practice Address - Country:US
Practice Address - Phone:907-317-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1944191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical