Provider Demographics
NPI:1437755378
Name:BOVELL-ATANGANA, ROSELEE DA CONCEICAO (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ROSELEE
Middle Name:DA CONCEICAO
Last Name:BOVELL-ATANGANA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:ROSELEE
Other - Middle Name:DA CONCEICAO
Other - Last Name:BOVELL-ATANGANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:8601 MANCHESTER RD APT 422
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-6189
Mailing Address - Country:US
Mailing Address - Phone:202-270-9503
Mailing Address - Fax:
Practice Address - Street 1:9701 APOLLO DR STE 410
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-4791
Practice Address - Country:US
Practice Address - Phone:301-244-9698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26585104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker