Healthcare Provider Details

I. General information

NPI: 1134048556
Provider Name (Legal Business Name): REHEMA ROSE BARNETT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8450 DORSEY RUN RD
JESSUP MD
20794-9486
US

IV. Provider business mailing address

8450 DORSEY RUN RD
JESSUP MD
20794-9486
US

V. Phone/Fax

Practice location:
  • Phone: 410-724-3135
  • Fax:
Mailing address:
  • Phone: 410-724-3135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number16815
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: