Provider Demographics
NPI:1093121360
Name:ROSEN, BEV (MSW)
Entity Type:Individual
Prefix:
First Name:BEV
Middle Name:
Last Name:ROSEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8525 HILL SPRING DR
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4531
Mailing Address - Country:US
Mailing Address - Phone:410-583-1847
Mailing Address - Fax:410-583-9989
Practice Address - Street 1:8525 HILL SPRING DR
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4531
Practice Address - Country:US
Practice Address - Phone:410-583-1847
Practice Address - Fax:410-583-9989
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker