Healthcare Provider Details

I. General information

NPI: 1922756204
Provider Name (Legal Business Name): ROSINA TEYE AMFO-ADU LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2617 5TH CT W
WEST FARGO ND
58078-8539
US

IV. Provider business mailing address

2617 5TH CT W
WEST FARGO ND
58078-8539
US

V. Phone/Fax

Practice location:
  • Phone: 701-410-6482
  • Fax:
Mailing address:
  • Phone: 701-410-6482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6383
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: