Provider Demographics
NPI:1558056424
Name:ROSAS, MARIE ELENA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:ELENA
Last Name:ROSAS
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 1:4526 BACKENBERRY DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-8110
Mailing Address - Country:US
Mailing Address - Phone:832-629-0462
Mailing Address - Fax:
Practice Address - Street 1:9219 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1520
Practice Address - Country:US
Practice Address - Phone:832-470-7890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65255104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No104100000XBehavioral Health & Social Service ProvidersSocial Worker