Provider Demographics
NPI:1679554166
Name:ORBITA, ISABEL GARCIA-ROLAN (LCSW)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:GARCIA-ROLAN
Last Name:ORBITA
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 1:2158 POINCIANA TER
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-1919
Mailing Address - Country:US
Mailing Address - Phone:181-342-0510
Mailing Address - Fax:727-464-8145
Practice Address - Street 1:2158 POINCIANA TER
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-1919
Practice Address - Country:US
Practice Address - Phone:181-342-0510
Practice Address - Fax:727-464-8145
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW76811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLVAD-000Medicare UPIN