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NPI Code Detail

MEDICARE: MS. MARIE ELENA ROSAS LCSW

MEDICARE:  MS. MARIE ELENA ROSAS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker65255TX

General Provider Information

NPI Number : 1558056424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIE ELENA ROSAS LCSW
Provider Business Mailing Address
First Line : 4526 BACKENBERRY DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-8110
Country : US
Telephone Number : 832-629-0462
Fax Number :
Provider Business Practice Location Address
First Line : 3201 FM 2004 RD
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-2199
Country : US
Telephone Number : 832-720-4768
Fax Number : 409-986-6500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2023
Last Update Date : 09/09/2024

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Directions to “ MS. MARIE ELENA ROSAS LCSW” Practice Location

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