MEDICARE: ROSINE NGWANA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	974434	TX

General Provider Information

NPI Number	:	1417802760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSINE NGWANA LCSW

Provider Business Mailing Address
First Line	:	4107 GREAT BEAR PL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7973
Country	:	US
Telephone Number	:	832-768-6227
Fax Number	:

Provider Business Practice Location Address
First Line	:	4107 GREAT BEAR PL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7973
Country	:	US
Telephone Number	:	832-768-6227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ ROSINE NGWANA LCSW” Practice Location

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