Provider Demographics
NPI:1578000741
Name:RHODES, SCOBA FRANCIS JR (MSW, ASW)
Entity type:Individual
Prefix:
First Name:SCOBA
Middle Name:FRANCIS
Last Name:RHODES
Suffix:JR
Gender:M
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 S GRAND AVE
Mailing Address - Street 2:BLDG. B
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-4434
Mailing Address - Country:US
Mailing Address - Phone:714-480-6076
Mailing Address - Fax:714-834-7303
Practice Address - Street 1:1300 S GRAND AVE
Practice Address - Street 2:BLDG. B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4434
Practice Address - Country:US
Practice Address - Phone:714-480-6076
Practice Address - Fax:714-834-7303
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 737311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical