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General NPI Number Information
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NPI Number | 1962567016
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Entity Type | Individual
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Provider Name | ROSALIE MORRISON KOGAN LCSW-C, ACSW
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | WALTER REED ARMY MEDICAL CTR 6900 GEORGIA AVE.N.W.
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City | WASHINGTON
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State | DC
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Zip | 20307-0001
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Country | US
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Telephone | 202-782-6472
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Fax | 202-782-3726
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Provider Business Mailing Address
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Address Line | 1309 MIDWOOD PL
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City | SILVER SPRING
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State | MD
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Zip | 20910-1646
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Country | US
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Telephone | 301-589-8994
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 07997
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License Number State | MD
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