Healthcare Provider Details

I. General information

NPI: 1114073764
Provider Name (Legal Business Name): ROSEMARY A DEHN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 LINWOOD AVE
BEL AIR MD
21014-3951
US

IV. Provider business mailing address

22 LINWOOD AVE
BEL AIR MD
21014-3951
US

V. Phone/Fax

Practice location:
  • Phone: 410-688-1007
  • Fax:
Mailing address:
  • Phone: 410-688-1007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number05682
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: