Healthcare Provider Details

I. General information

NPI: 1831071612
Provider Name (Legal Business Name): MELISSA ANN ROSADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W GERMANTOWN PIKE STE 400
PLYMOUTH MEETING PA
19462-1046
US

IV. Provider business mailing address

47 MERKEL RD
GILBERTSVILLE PA
19525-9541
US

V. Phone/Fax

Practice location:
  • Phone: 610-525-7527
  • Fax:
Mailing address:
  • Phone: 610-592-8492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW025147
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: