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General NPI Number Information
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NPI Number | 1316830128
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Entity Type | Individual
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Provider Name | ROSHELLE KADES LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 5044 DORSEY HALL DR STE 204
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-7500
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Country | US
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Telephone | 410-884-9200
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Fax | 410-904-6740
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Provider Business Mailing Address
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Address Line | 857 GLEN ALLEN DR
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City | BALTIMORE
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State | MD
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Zip | 21229-1425
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Country | US
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Telephone | 804-502-6010
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 25963
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License Number State | MD
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