Provider Demographics
NPI:1457442584
Name:BRESNICK HAUSS, RONDA A (LCSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:RONDA
Middle Name:A
Last Name:BRESNICK HAUSS
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 CONSTITUTION AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6420
Mailing Address - Country:US
Mailing Address - Phone:202-544-5050
Mailing Address - Fax:202-544-5177
Practice Address - Street 1:1308 CONSTITUTION AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6420
Practice Address - Country:US
Practice Address - Phone:202-544-5050
Practice Address - Fax:202-544-5177
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500779861041C0700X
MD121811041C0700X
VA09040056351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical