Provider Demographics
NPI:1184422099
Name:ROSAL, PAMELA (LMSW)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:ROSAL
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MONROE ST APT 401
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2549
Mailing Address - Country:US
Mailing Address - Phone:435-260-7332
Mailing Address - Fax:
Practice Address - Street 1:118 MONROE ST APT 401
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2549
Practice Address - Country:US
Practice Address - Phone:435-260-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD31479104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker