Healthcare Provider Details

I. General information

NPI: 1699181156
Provider Name (Legal Business Name): ROSALIND YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2014
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10630 LITTLE PATUXENT PARKWAY STE. 209
COLUMBIA MD
21044
US

IV. Provider business mailing address

10630 LITTLE PATUXENT PARKWAY STE. 209
COLUMBIA MD
21044
US

V. Phone/Fax

Practice location:
  • Phone: 410-740-8066
  • Fax:
Mailing address:
  • Phone: 410-740-8066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29807
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: