Healthcare Provider Details

I. General information

NPI: 1467062075
Provider Name (Legal Business Name): ROSEMARY ANDERSON & ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 07/05/2021
Certification Date: 08/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 W PENNSYLVANIA AVE STE 304
TOWSON MD
21204-5009
US

IV. Provider business mailing address

7715 JENELLES LN
NOTTINGHAM MD
21236-3729
US

V. Phone/Fax

Practice location:
  • Phone: 410-616-2940
  • Fax: 833-834-0932
Mailing address:
  • Phone: 443-653-0545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSEMARY ANDERSON
Title or Position: OWNER/CEO
Credential:
Phone: 410-661-0855