Provider Demographics
NPI:1295855146
Name:BEROZA, ROSALYN (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:ROSALYN
Middle Name:
Last Name:BEROZA
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 1:9826 CAPITOL VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1030
Mailing Address - Country:US
Mailing Address - Phone:301-587-7403
Mailing Address - Fax:301-588-4041
Practice Address - Street 1:8601 GEORGIA AVE
Practice Address - Street 2:SUITE 810
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3437
Practice Address - Country:US
Practice Address - Phone:301-588-4442
Practice Address - Fax:301-588-4041
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD029891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical