MEDICARE: MS. ROSELEE DA CONCEICAO BOVELL-ATANGANA LMSW

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	104100000X	Social Worker	26585	MD

General Provider Information

NPI Number	:	1437755378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSELEE DA CONCEICAO BOVELL-ATANGANA LMSW

Provider Business Mailing Address
First Line	:	8601 MANCHESTER RD APT 422
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-6189
Country	:	US
Telephone Number	:	202-270-9503
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 APOLLO DR STE 410
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-4791
Country	:	US
Telephone Number	:	301-244-9698
Fax Number	:

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

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	12/07/2020

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Directions to “ MS. ROSELEE DA CONCEICAO BOVELL-ATANGANA LMSW” Practice Location

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