Provider Demographics
NPI:1043783392
Name:ROSENBAUM-CASSEL, BETSY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:ROSENBAUM-CASSEL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 ALLEN CT
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6108
Mailing Address - Country:US
Mailing Address - Phone:443-985-3418
Mailing Address - Fax:
Practice Address - Street 1:603 OLD LIBERTY RD STE 1
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-8550
Practice Address - Country:US
Practice Address - Phone:410-921-9004
Practice Address - Fax:410-795-0140
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD166271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical