Provider Demographics
NPI:1003043282
Name:WADEN-BROOKS, ROSITA MARIA (LCSW)
Entity Type:Individual
Prefix:
First Name:ROSITA
Middle Name:MARIA
Last Name:WADEN-BROOKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 52687
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77052-2687
Mailing Address - Country:US
Mailing Address - Phone:281-458-6466
Mailing Address - Fax:888-820-3626
Practice Address - Street 1:4721 GARTH RD
Practice Address - Street 2:SUITE C200
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2153
Practice Address - Country:US
Practice Address - Phone:832-343-3413
Practice Address - Fax:888-820-3626
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX376001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical