Xochitl Dolores Roa | Brooklyn, NY • PECOS Search

Xochitl Dolores Roa

Social Worker

Behavioral Health & Social Service Providers

819 Grand St, Top Floor, Brooklyn, NY 11211-5001

PECOS Enrollment

Based on the most recent information from CMS, provider Xochitl Dolores Roa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1538170576
Provider Type
Individual
Full Name
Roa, Xochitl Dolores
Title
Ms.
Credential
LCSW-R

Gender
Female
Sole Proprietor
No
Enumeration Date
8/11/2006
Last Updated
11/15/2010

Contact Information

Practice Location

819 Grand St, Top Floor, Brooklyn, NY 11211-5001

Unlisted Fax

Mailing Location

819 Grand St, Top Floor, Brooklyn, NY 11211-5001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 073481-1 New York