Provider Demographics
NPI:1306026364
Name:ROSEMAN, ANNE MARY (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARY
Last Name:ROSEMAN
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 1:12248 RED RUST LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3815
Mailing Address - Country:US
Mailing Address - Phone:704-236-1578
Mailing Address - Fax:
Practice Address - Street 1:12248 RED RUST LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3815
Practice Address - Country:US
Practice Address - Phone:704-236-1578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ355233859Medicare UPIN