Provider Demographics
NPI:1821616921
Name:YOUNG, ROSEMARIE (LSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2235 W GREENLEAF ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3953
Mailing Address - Country:US
Mailing Address - Phone:484-554-3218
Mailing Address - Fax:
Practice Address - Street 1:4480 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2503
Practice Address - Country:US
Practice Address - Phone:484-695-9716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW137213104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker